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CMS-1403-FC
providers and suppliers 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
7 years from the date of service. In addition, we are
finalizing the provision found at §424.535(a)(10) that
states that failure to comply with the documentation
requirements specified in §424.516(f) is a reason for
revocation.
Finally, the aforementioned provisions regarding
ordering and referring documentation are effective with
services furnished on or after the implementation date of
this final rule.
6. Revocation of Enrollment and Billing Privileges in the
Medicare Program (§424.535(h))
Historically, we have allowed providers and suppliers
whose Medicare billing numbers have been revoked to
continue billing for services furnished prior to revocation
for up to 27 months after the effective date of the
revocation. Since we believe this extensive billing period
poses significant risk to the Medicare program, we proposed
to limit the claims submission timeframe after revocation.
In §424.535(g) (redesignated as §424.535(h)), we proposed
that revoked physician and NPP organizations and individual
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