Pass Your CMS Medicare Site Visit The Unannounced Site Visit – How to Be Ready Every Day

CMS Medicare site visits are now a standard part of screening and program integrity. Many providers are being marked “non-operational” not because they are fraudulent, but because they are unprepared for the unannounced visit: locked doors, missing signage, inconsistent hours, or staff who don’t know how to respond. A failed visit can lead to payment holds, deactivation, or revocation—even for legitimate practices.
This webinar will walk you through what really happens during these visits and how to make sure your location looks “audit-ready” every day.

By the end of this webinar, students will be able to:-

• Explain why and when inspectors conduct unannounced site visits
• Identify the most common reasons suppliers are found “non-operational”
• Prepare their location, signage, hours, and staff to align with Medicare enrollment records
• Respond appropriately when inspectors arrive, including verifying credentials without obstructing the visit
• Create a simple, ongoing “site visit readiness” plan for their organization.

• Types and timing of CMS site visits: initial, revalidation, address changes, new locations
• How CMS defines an “operational” location—and easy ways providers fail this test
• Signage, business hours, phones, and staffing: what must always match PECOS and your enrollment
• Shared space and co-working locations: what’s allowed vs. high-risk arrangements
• Inspectors: who they are, how they work, and how to verify them correctly
• Walk-through of what inspectors look at in:
  • Clinics/Offices
  • DMEPOS suppliers
  • IDTF / ancillary locations
• Scripts and protocols for staff when inspectors arrive unannounced
• Documentation you should have ready before anyone shows up.

• Avoid costly claim payment interruptions, deactivation, or revocation
• Turn a surprise visit into a routine compliance event instead of a crisis
• Get practical checklists and talking points for front desk and management
• Understand what inspectors actually expect to see for your type of practice
• Protect your Medicare enrollment and your reputation with payers.

• Owners
• Administrators
• Compliance officers
• Billing managers
• DMEPOS/IDTF managers, and anyone responsible for Medicare enrollment and operations.