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CMS-1403-FC
these claims will ensure that Medicare only pays for
services furnished by a physician or NPP organization or
individual practitioner and that these entities and
individuals receive payment in a timely manner. In
addition, we also proposed to add a new provision at
§424.44(a)(3) to account for this provision related to the
requirements for the timely filing of claims. The timely
filing requirements in §424.44(a)(1) and (a)(2) will no
longer apply to physician and NPP organizations,
physicians, NPPs and IDTFs whose billing privileges have
been revoked by CMS.
Comment: Several commenters recommended that we
withdraw all of our proposed changes to the requirements
for physician enrollment in Medicare, including changes to
the effective date of billing privileges, eligibility to
participate in the program, enrollment processing,
reporting requirements, and revocation of billing
privileges. Many of the commenters were concerned that it
would be burdensome to add new requirements where they must
submit all claims within 60 days of the effective date of
revocation because of the time it takes to process claims
and that it would be easier to leave the retrospective
billing rules as they are.
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