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

CMS-1403-FC
affords the supplier appeal rights and by reporting an
adverse legal action within 30 days of the reportable
event, a physician or NPP or physician or NPP organization
may regain billing privileges if the final adverse action
no longer impedes the applicant’s reenrollment into the
Medicare program.
We are also finalizing the provision at
§424.516(d)(1)(iii) which requires physicians, NPPs and
physician and NPP organizations to report a change of
practice location within 30 days. While we may not revoke
the billing privileges of physicians, NPPs and physician
and NPP organizations if a change of practice location is
reported by the practitioner or organization after the
prescribed 30-day timeframe, we will assess an overpayment,
if applicable, for the difference in payment rates
retroactive to the date the change in practice location
occurred. In addition, with limited exceptions such as a
Presidentially-declared disaster under the Robert T.
Stafford Disaster Relief and Emergency Assistance Act, 42
U.S.C. §§5121-5206 (Stafford Act), physicians, NPPs, and
physician and NPP organizations can report a change of
practice location in advance of the reportable event. We
note that individual practitioners and physician and NPP
organizations routinely notify staff, the U.S. Post Office,
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