Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC or a physician or NPP organization is already afforded approximately 30 days notification before the effective date of revocation (except for revocations identified in §405.874(b)(2) and §424.535(f) (redesignated as §424.535(g)) of this final rule), we believe that almost 90 days is more than sufficient time to file any outstanding claims with the Medicare program. In addition, we are amending §424.44(a) to account for this provision related to the requirements for the timely filing of claims. We are revising the §424.44(a) to clarify that this provision is consistent with §424.521 which limits the ability of physicians, NPPs and physician and NPP organizations to bill retrospectively. The timely filing requirements in §424.44(a)(1) and (a)(2) will no longer apply to physician, NPPs, or physician or NPP organizations or IDTFs.. 7. Technical Changes to Regulations Text We proposed to make the following technical changes: ● Existing §424.510(d)(8) would be redesignated as §424.517. This revision would separate our ability to conduct onsite reviews from the provider and supplier enrollment requirements. ● Existing §424.520 would be revised and redesignated as §424.516. This redesignation would move the additional 322
CMS-1403-FC provider and supplier enrollment requirements so that these requirements immediately follow the provider and supplier enrollment requirements. ● In new §424.520, we proposed to specify the effective dates for Medicare billing privileges for the following entities: surveyed, certified, or accredited providers and suppliers; IDTFs; and DMEPOS suppliers. ● In §424.530, we proposed to add the phrase “in the Medicare program” to the section heading to remain consistent with other headings in the subpart. After reviewing public comments, we are finalizing the following technical changes: ● Existing §424.510(d)(8)has been redesignated as §424.517. This revision would separate our ability to conduct onsite reviews from the provider and supplier enrollment requirements. ● Existing §424.520 has been revised and redesignated as §424.516. This redesignation would move the additional provider and supplier enrollment requirements so that these requirements immediately follow the provider and supplier enrollment requirements. ● In new §424.520, we are adopting the effective dates for Medicare billing privileges for the following 323
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<strong>CMS</strong>-1403-FC<br />
provider and supplier enrollment requirements so that these<br />
requirements immediately follow the provider and supplier<br />
enrollment requirements.<br />
● In new §424.520, we proposed to specify the<br />
effective dates for Medicare billing privileges for the<br />
following entities: surveyed, certified, or accredited<br />
providers and suppliers; IDTFs; and DMEPOS suppliers.<br />
● In §424.530, we proposed to add the phrase “in the<br />
Medicare program” to the section heading to remain<br />
consistent with other headings in the subpart.<br />
After reviewing public comments, we are finalizing the<br />
following technical changes:<br />
● Existing §424.510(d)(8)<strong>has</strong> <strong>been</strong> redesignated as<br />
§424.517. <strong>This</strong> revision would separate our ability to<br />
conduct onsite reviews from the provider and supplier<br />
enrollment requirements.<br />
● Existing §424.520 <strong>has</strong> <strong>been</strong> revised and redesignated<br />
as §424.516. <strong>This</strong> redesignation would move the additional<br />
provider and supplier enrollment requirements so that these<br />
requirements immediately follow the provider and supplier<br />
enrollment requirements.<br />
● In new §424.520, we are adopting the effective<br />
dates for Medicare billing privileges for the following<br />
323