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 specialty clinics, and 130,000 multi-specialty clinics. In addition, PECOS maintains enrollment records for all other provider and supplier types, except durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers. This means that we have collected and retain current enrollment information on approximately 80 percent of physicians and 98 percent of the NPPs enrolled in and billing the Medicare program. In addition, since the information obtained during the enrollment process for physician and NPP organizations updates our claims payment systems for Part B services, we are able to help ensure claims processing accuracy by utilizing its existing processes. Comment: One commenter urged CMS to produce educational materials beyond the vague tip sheets located at the beginning of each application. In addition, this commenter recommends that we develop a series of frequently asked questions on Medicare provider enrollment. Response: We already maintain a link to provider enrollment frequently asked questions at www.cms.hhs.gov/MedicareProviderSupEnroll. In addition, this Web site maintains more than 10 different provider enrollment outreach documents that the public can view online or download for future reference. 254
CMS-1403-FC In an attempt to ensure that all physicians, NPPs, and NPP organizations are aware of and comply with their reporting responsibilities, we developed and posted reporting responsibilities for physicians, NPPs, and physician organizations on our provider enrollment Web page at www.cms.hhs.gov/MedicareProviderSupEnroll on September 16, 2008. In addition, on September 17, 2008, we issued a listserv announcement to those individual physicians and NPPs who subscribe to the CMS Physician Open Door Forum and to more than 150 national and State-level organizations that subscribe to the CMS provider partnership network. We also expect that contractors will continue to notify physicians and NPP organizations about their reporting responsibilities by listserv, bulletin, and/or direct mail in FY 2009 and beyond. With the implementation of this final rule with comment period on January 1, 2009, we will revise the educational materials found on our Web site and distribute this information through our established communication channels. Finally, we will post educational material, including fact sheets and frequent asked questions, regarding Internet-based PECOS as soon as this system is available to the public. Comment: One commenter asked that we create extensive educational programming on provider enrollment for both our 255
- Page 203 and 204: CMS-1403-FC Comment: Commenters rai
- Page 205 and 206: CMS-1403-FC who have enrolled in th
- Page 207 and 208: CMS-1403-FC ● Posting IDTF standa
- Page 209 and 210: CMS-1403-FC other diagnostic testin
- Page 211 and 212: CMS-1403-FC entities furnishing mob
- Page 213 and 214: CMS-1403-FC state Radioactive Mater
- Page 215 and 216: CMS-1403-FC equipment and provide t
- Page 217 and 218: CMS-1403-FC Response: We understand
- Page 219 and 220: CMS-1403-FC believe that requiring
- Page 221 and 222: CMS-1403-FC these claims will ensur
- Page 223 and 224: CMS-1403-FC and NPP organizations,
- Page 225 and 226: CMS-1403-FC prior to their enrollin
- Page 227 and 228: CMS-1403-FC The date of approval is
- Page 229 and 230: CMS-1403-FC organizations, and indi
- Page 231 and 232: CMS-1403-FC To assist physician and
- Page 233 and 234: CMS-1403-FC Comment: Several commen
- Page 235 and 236: CMS-1403-FC date of filing and circ
- Page 237 and 238: CMS-1403-FC services are complying
- Page 239 and 240: CMS-1403-FC days when a Presidentia
- Page 241 and 242: CMS-1403-FC effective date under ap
- Page 243 and 244: CMS-1403-FC Comment: The suggestion
- Page 245 and 246: CMS-1403-FC Response: We thank the
- Page 247 and 248: CMS-1403-FC provider enrollment giv
- Page 249 and 250: CMS-1403-FC instead, it will force
- Page 251 and 252: CMS-1403-FC Response: As stated abo
- Page 253: CMS-1403-FC Comment: One commenter
- Page 257 and 258: CMS-1403-FC rule, rather than limit
- Page 259 and 260: CMS-1403-FC changes have occurred,
- Page 261 and 262: CMS-1403-FC Response: While we moni
- Page 263 and 264: CMS-1403-FC records faster and more
- Page 265 and 266: CMS-1403-FC In §424.521(a)(1), we
- Page 267 and 268: CMS-1403-FC practitioners with the
- Page 269 and 270: CMS-1403-FC In June 2002 and Novemb
- Page 271 and 272: CMS-1403-FC full implementation sch
- Page 273 and 274: CMS-1403-FC with billing agents, cl
- Page 275 and 276: CMS-1403-FC 2. Medicare Billing Pri
- Page 277 and 278: CMS-1403-FC The FPLP is a collectio
- Page 279 and 280: CMS-1403-FC continued enrollment to
- Page 281 and 282: CMS-1403-FC Federal Payment Levy Pr
- Page 283 and 284: CMS-1403-FC Consistent with existin
- Page 285 and 286: CMS-1403-FC facilitate the enrollme
- Page 287 and 288: CMS-1403-FC determination. Specific
- Page 289 and 290: CMS-1403-FC individual practitioner
- Page 291 and 292: CMS-1403-FC determines in February
- Page 293 and 294: CMS-1403-FC Management Manual (IOM
- Page 295 and 296: CMS-1403-FC Response: Based on thes
- Page 297 and 298: CMS-1403-FC or continues to meet th
- Page 299 and 300: CMS-1403-FC to identify and discipl
- Page 301 and 302: CMS-1403-FC Response: We disagree w
- Page 303 and 304: CMS-1403-FC save our severe penalti
<strong>CMS</strong>-1403-FC<br />
specialty clinics, and 130,000 multi-specialty clinics. In<br />
addition, PECOS maintains enrollment records for all other<br />
provider and supplier types, except durable medical<br />
equipment, prosthetics, orthotics, and supplies (DMEPOS)<br />
suppliers. <strong>This</strong> means that we have collected and retain<br />
current enrollment information on approximately 80 percent<br />
of physicians and 98 percent of the NPPs enrolled in and<br />
billing the Medicare program. In addition, since the<br />
information obtained during the enrollment process for<br />
physician and NPP organizations updates our claims payment<br />
systems for Part B services, we are able to help ensure<br />
claims processing accuracy by utilizing its existing<br />
processes.<br />
Comment: One commenter urged <strong>CMS</strong> to produce<br />
educational materials beyond the vague tip sheets located<br />
at the beginning of each application. In addition, this<br />
commenter recommends that we develop a series of frequently<br />
asked questions on Medicare provider enrollment.<br />
Response: We already maintain a link to provider<br />
enrollment frequently asked questions at<br />
www.cms.hhs.gov/MedicareProviderSupEnroll. In addition,<br />
this Web site maintains more than 10 different provider<br />
enrollment outreach <strong>document</strong>s that the public can view<br />
online or download for future reference.<br />
254