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CMS-1403-FC
privileges; (2) Suspension or revocation of a license to
furnish health care by any State licensing authority; (3)
Revocation or suspension by an accreditation organization;
(4) A conviction of a Federal or State felony offense (as
defined in §424.535(a)(3)(i)) within the last 10 years
preceding enrollment, revalidation, or re-enrollment; or
(5) An exclusion or debarment from participation in a
Federal or State health care program.
5. Maintaining Ordering and Referring Documentation
We proposed to add a new §424.516(f) that would
specify, “A provider or supplier is required to maintain
ordering and referring documentation, including the NPI,
received from a physician or eligible NPP. Physicians and
NPPs are required to maintain written ordering and
referring documentation for 10 years from the date of
service.” We believe that it is essential that providers
and suppliers maintain documentation regarding the specific
service ordered or referred to a Medicare beneficiary by a
physician or NPP as defined in section 1842 (b)(18)(c) of
the Act,(which includes but is not limited to nurse
practitioners, and physician assistants). We believe that
ordering and referring documentation maintained by a
provider or supplier must match the information on the
Medicare claims form. Additionally, we proposed to add
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