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CMS-1403-FC
provider enrollment given that all processes basically
require the same essential information.
Response: CMS already utilizes a single national
repository of enrollment information. The national
enrollment repository is known as the Provider Enrollment,
Chain and Ownership System (PECOS).
Comment: Several commenters supported our proposed
approach that would establish the initial enrollment date
for individual practitioners and physician and NPP
organizations as the date an enrolled supplier started
furnishing services at the new practice location as it
would be the fairest option for all enrollees.
Response: We appreciate this comment, and as stated
above, we are finalizing this proposal with revisions so
that it would establish the effective date of billing for
physicians, NPPs, and physician and NNP organizations as the
later of date of filing of a Medicare enrollment application
that was subsequently approved by a Medicare contractor or
the date they first began furnishing services at a new
practice location..
Comment: One commenter stated that physician practices
that allow new practitioners to treat Medicare patients
before their applications are approved run the risk of
submitting an application that is ultimately returned on a
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