Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC (1) Within 30 days for a change of ownership, including changes in authorized official(s) or delegated official(s); (2) All other changes to enrollment must be reported within 90 days. (f) Maintaining documentation. A provider or supplier is required to maintain ordering and referring documentation, including the NPI, received from a physician or eligible nonphysician practitioner for 7 years from the date of service. Physicians and nonphysician practitioners are required to maintain written ordering and referring documentation for 7 years from the date of service. 42. Section 424.517 is added to read as follows: §424.517 Onsite review. (a) CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its agents is accurate and to determine compliance with Medicare enrollment requirements. Site visits for enrollment purposes do not affect those site visits performed for establishing compliance with conditions of participation. Based upon the results of CMS's onsite review, the provider may be subject to denial or revocation 1142
CMS-1403-FC of Medicare billing privileges as specified in §424.530 or §424.535 of this part. (1) Medicare Part A providers. CMS determines, upon on-site review, that the provider meets either of the following conditions: services. (i) Is unable to furnish Medicare-covered items or (ii) Has failed to satisfy any of the Medicare enrollment requirements. (2) Medicare Part B providers. CMS determines, upon review, that the supplier meets any of the following conditions: services. (i) Is unable to furnish Medicare-covered items or (ii) Has failed to satisfy any or all of the Medicare enrollment requirements. (iii) Has failed to furnish Medicare covered items or services as required by the statute or regulations. (b) [Reserved] 43. Section 424.520 is revised to read as follows: §424.520 Effective date of Medicare billing privileges. (a) Surveyed, certified or accredited providers and suppliers. The effective date for billing privileges for providers and suppliers requiring State survey, 1143
- Page 1091 and 1092: CMS-1403-FC which means that in 200
- Page 1093 and 1094: CMS-1403-FC List of Subjects 42 CFR
- Page 1095 and 1096: CMS-1403-FC For the reasons set for
- Page 1097 and 1098: CMS-1403-FC (1) Except as specified
- Page 1099 and 1100: CMS-1403-FC pressure, a visual acui
- Page 1101 and 1102: CMS-1403-FC (ii) A speech-language
- Page 1103 and 1104: CMS-1403-FC during the hours that t
- Page 1105 and 1106: CMS-1403-FC (i) Be certified as a n
- Page 1107 and 1108: CMS-1403-FC 14. Section 410.155 is
- Page 1109 and 1110: CMS-1403-FC prostate cancer screeni
- Page 1111 and 1112: CMS-1403-FC B. Amending the definit
- Page 1113 and 1114: CMS-1403-FC The revisions and addit
- Page 1115 and 1116: CMS-1403-FC or institution other th
- Page 1117 and 1118: CMS-1403-FC substantially all (whic
- Page 1119 and 1120: CMS-1403-FC psychiatric diagnostic
- Page 1121 and 1122: CMS-1403-FC repairing, maintaining,
- Page 1123 and 1124: CMS-1403-FC B. Deleting paragraph (
- Page 1125 and 1126: CMS-1403-FC during any period of me
- Page 1127 and 1128: CMS-1403-FC (c)(1). A. Revising the
- Page 1129 and 1130: CMS-1403-FC * * * * * (b) * * * (2)
- Page 1131 and 1132: CMS-1403-FC assigned to such drug p
- Page 1133 and 1134: CMS-1403-FC 33. In §415.130(d), th
- Page 1135 and 1136: CMS-1403-FC (6) An ambulance provid
- Page 1137 and 1138: CMS-1403-FC §424.57 Special paymen
- Page 1139 and 1140: CMS-1403-FC Final adverse action me
- Page 1141: CMS-1403-FC (b) Reporting requireme
- Page 1145 and 1146: CMS-1403-FC (a) Physicians, nonphys
- Page 1147 and 1148: CMS-1403-FC * * * * * (g) Effective
- Page 1149 and 1150: CMS-1403-FC that meet the qualifica
- Page 1151 and 1152: CMS-1403-FC (3) Have equivalent tra
- Page 1153 and 1154: CMS-1403-FC §485.711 Condition of
- Page 1155 and 1156: CMS-1403-FC Subpart C--Conditions f
- Page 1157 and 1158: CMS-1403-FC Authority: Catalog of F
- Page 1159 and 1160: CMS-1403-FC Addendum B means that C
- Page 1161 and 1162: CMS-1403-FC which they are incident
- Page 1163 and 1164: CMS-1403-FC T = There are RVUs for
- Page 1165 and 1166: CMS-1403-FC ADDENDUM B: Relative Va
- Page 1167 and 1168: CMS-1403-FC Physi- cian Work Fully
- Page 1169 and 1170: CMS-1403-FC Physi- cian Work Fully
- Page 1171 and 1172: CMS-1403-FC Physi- cian Work Fully
- Page 1173 and 1174: CMS-1403-FC Physi- cian Work Fully
- Page 1175 and 1176: CMS-1403-FC Physi- cian Work Fully
- Page 1177 and 1178: CMS-1403-FC Physi- cian Work Fully
- Page 1179 and 1180: CMS-1403-FC Physi- cian Work Fully
- Page 1181 and 1182: CMS-1403-FC Physi- cian Work Fully
- Page 1183 and 1184: CMS-1403-FC Physi- cian Work Fully
- Page 1185 and 1186: CMS-1403-FC Physi- cian Work Fully
- Page 1187 and 1188: CMS-1403-FC Physi- cian Work Fully
- Page 1189 and 1190: CMS-1403-FC Physi- cian Work Fully
- Page 1191 and 1192: CMS-1403-FC Physi- cian Work Fully
<strong>CMS</strong>-1403-FC<br />
(1) Within 30 days for a change of ownership,<br />
including changes in authorized official(s) or delegated<br />
official(s);<br />
(2) All other changes to enrollment must be reported<br />
within 90 days.<br />
(f) Maintaining <strong>document</strong>ation. A provider or supplier<br />
is required to maintain ordering and referring<br />
<strong>document</strong>ation, including the NPI, received from a physician<br />
or eligible nonphysician practitioner for 7 years from the<br />
date of service. Physicians and nonphysician practitioners<br />
are required to maintain written ordering and referring<br />
<strong>document</strong>ation for 7 years from the date of service.<br />
42. Section 424.517 is added to read as follows:<br />
§424.517 Onsite review.<br />
(a) <strong>CMS</strong> reserves the right, when deemed necessary, to<br />
perform onsite review of a provider or supplier to verify<br />
that the enrollment information <strong>submitted</strong> to <strong>CMS</strong> or its<br />
agents is accurate and to determine compliance with<br />
Medicare enrollment requirements. Site visits for<br />
enrollment purposes do not affect those site visits<br />
performed for establishing compliance with conditions of<br />
participation. Based upon the results of <strong>CMS</strong>'s onsite<br />
review, the provider may be subject to denial or revocation<br />
1142