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

CMS-1403-FC
telephone and electric companies, suppliers, vendors, State
medical associations and other practitioner partners prior
to a change in practice location. Accordingly, we believe
that it is appropriate that physicians and NPP
organizations notify the Medicare contractor in advance of
any pending change of practice location, but no later than
30 days after the reportable event.
As such, we will not reprocess claims for those
individual practitioners and physician and NPP
organizations that do not report a change of practice
location prior to a change in practice location where the
reported change would result in an underpayment, unless the
change of location was the direct result of a
Presidentially-declared disaster under the Robert T.
Stafford Disaster Relief and Emergency Assistance Act, 42
U.S.C. §§5121-5206 (Stafford Act). We believe that this
change will create an incentive for physicians, NPPs, and
physician and NPP organizations to report changes in
practice locations prior to the change of practice location
or, at a minimum, within the 30 days of the reportable
event.
Moreover, if we determine that a change of practice
location occurred and it has not been reported within the
30 days of the reportable event, we may revoke billing
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