Change of Ownership (CHOW)

A Change of Ownership (CHOW) typically occurs when a Medicare provider has been purchased by another organization, resulting in the transfer of the old owner’s Medicare Identification Number and provider agreement to the new owner. If the purchaser elects not to accept a transfer of the provider agreement, then the old agreement should be terminated and the purchaser is considered a new applicant.

Effectively facilitating a CHOW must occur through navigating complex state and federal regulations, and, if not executed properly, can expose the purchaser to potential liability and delayed reimbursement. Murer can also assist in the transition of any other type of state licensed facility that must obtain approval for the CHOW process. Please see our Certificate of Need section for information concerning Murer’s additional expertise.

Murer Consultants can assist throughout the CHOW process including:

  • Regulatory interpretation & policy guidance
  • Due diligence
  • Billing and reimbursement auditing
  • Data collection optimization
  • Letter of intent drafting
  • Coordination with state and federal agencies
  • Follow up and timely processing