Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
Response: This comment is outside the scope of the
proposed rule and can not be addressed in this final rule.
After reviewing public comments, we are finalizing the
definition of “physician or nonphysician practitioner (NPP)
organization" at §424.502 as “any physician or NPP
organization that enrolls in the Medicare program as a sole
proprietorship or any organizational entity.”
Organizational entities include, but are not limited to,
limited liability corporations, Subchapter S corporations,
partnerships, professional limited liability corporations,
professional corporations, and professional associations.
After reviewing public comments, we are finalizing the
provision at §424.520(d) to state that we will establish an
effective date of billing for physicians, NPPs and
physician and NPP organizations that would be the later of:
(1) the date of filing of a Medicare enrollment application
that was subsequently approved by Medicare contractor (that
is, carrier, fiscal intermediary or A/B Medicare
Administrative Contractor); or (2) the date a physician,
NPP or physician and NPP organization first started
furnishing services at its new practice location.
In §424.521, Request for Payment by Physicians,
Nonphysician Practitioners, Physician or Nonphysician
Organizations, we are finalizing the proposals.
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