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 ...

healthcare.philips.com
from healthcare.philips.com More from this publisher
19.02.2013 Views

CMS-1403-FC contractors and providers to ensure that both sides thoroughly understand the process and expectations. Response: We provide Medicare contractors with manual instructions and other directives to ensure consistent enrollment processing. In addition, as stated above, we are disseminating additional educational materials to ensure that the public understands their reporting responsibilities. Comment: One commenter suggested a process for the Medicare Contractor to notify the provider that the application has been received and it is being processed to ensure the approved billing date is the same between the provider and the Medicare contractor. Response: Due to cost constraints, most Medicare contractors can not notify an applicant when their paper enrollment application is received; however, Medicare contractors are required to notify an applicant when the application is missing information or if additional supporting documentation is needed to process the enrollment request. Comment: One commenter stated that the NPP nomenclature is ambiguous because CMS lists all suppliers as NPPs (including audiologists and physical and occupational therapists) on page 38535 of the proposed 256

CMS-1403-FC rule, rather than limiting this term to physician assistants, nurse practitioners, and clinical nurse specialists as defined in Medicare policy manuals. Response: We have revised this rule to refer to individual physicians and NPPs and physician and NPP organizations. Comment: One commenter urges CMS to require contractors to provide accurate and complete information to applicants, allowing their practices to complete their enrollment applications in an easy and efficient manner. Response: While we appreciate this comment, this comment is outside the scope of this proposed rule and can not be addressed in this final rule. Comment: One commenter urged CMS to require Medicare contractors to communicate requests for additional information in such a manner that the communications can be easily tracked. Response: We believe that this issue is outside the scope of the proposed rule and can not be addressed in this final rule. Comment: One commenter urged a “timeout” on the release of new rules and regulations surrounding the Medicare provider enrollment process. 257

<strong>CMS</strong>-1403-FC<br />

rule, rather than limiting this term to physician<br />

assistants, nurse practitioners, and clinical nurse<br />

specialists as defined in Medicare policy manuals.<br />

Response: We have revised this rule to refer to<br />

individual physicians and NPPs and physician and NPP<br />

organizations.<br />

Comment: One commenter urges <strong>CMS</strong> to require<br />

contractors to provide accurate and complete information to<br />

applicants, allowing their practices to complete their<br />

enrollment applications in an easy and efficient manner.<br />

Response: While we appreciate this comment, this<br />

comment is outside the scope of this proposed rule and can<br />

not be addressed in this final rule.<br />

Comment: One commenter urged <strong>CMS</strong> to require Medicare<br />

contractors to communicate requests for additional<br />

information in such a manner that the communications can be<br />

easily tracked.<br />

Response: We believe that this issue is outside the<br />

scope of the proposed rule and can not be addressed in this<br />

final rule.<br />

Comment: One commenter urged a “timeout” on the<br />

release of new rules and regulations surrounding the<br />

Medicare provider enrollment process.<br />

257

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!