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CMS-1403-FC
1078
provided that certain conditions are satisfied, will have no
budgetary impact.
R. Revision to the “Appeals of CMS or CMS contractor
Determinations When a Provider or Supplier Fails to Meet
the Requirements for Medicare Billing Privileges” Final
Rule
We expect that the provision in section II.S.5. of
this final rule with comment period will have an impact on
an unknown number of persons and entities; however, we
believe that this provision will impact only a small number
of suppliers whose billing privileges are revoked due to
Federal debarment or exclusion, felony convictions, license
suspensions or revocation, or because the supplier is no
longer operating at a practice location provided to
Medicare. We also believe that while this provision
changes the effective date of revocation for certain
suppliers that are no longer in compliance with Medicare
enrollment requirements, this provision does not expand or
change our revocation authority.
As a result of not having quantifiable data for the
suppliers that meet the criteria for immediate revocation,
we cannot effectively derive an estimate of the monetary
impacts of this provision. Accordingly, we sought public
comment so that the public may provide any data available