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CMS-1403-FC
evidence that the supplier is not operational (see
§424.535(b)(5))
Comment: One commenter stated that they oppose
changing the time period for reporting a change in location
from 90 days to 30 days because the physician is still
eligible for payment and Medicare’s vulnerability to
overpayments is limited.
Response: While we agree that a physician may still
be eligible to receive payment, the issue in question is
the amount of payment. Moreover, as a payer of health
care, we believe that physicians and all other providers
and suppliers have a responsibility to update their
enrollment record when a change in practice location
occurs. This will allow CMS or our contractor to verify
that services are actually furnished at the practice
locations identified by the medical practices.
Comment: One commenter stated that if we finalize our
reporting requirements, a better option would be to limit
the types of actions that are reportable to similar actions
that are required to be reported to the National
Practitioner Data Bank (NPDB) which was established by the
Congress to address the need to improve the quality of
medical care by encouraging State licensing boards, health
care entities such as hospitals, and professional societies
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