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

CMS-1403-FC
adopting our proposal to amend §424.36(a) to clarify that
“the claim” includes the actual claim form or such other
form that contains adequate notice to the beneficiary or
other authorized individual signing on behalf of the
beneficiary that the purpose of the signature is to
authorize a provider or supplier to submit a claim to
Medicare for specified services furnished to the
beneficiary. The purpose of the beneficiary signature is
to verify that the services were in fact rendered and were
rendered as billed.
Our proposal does not impose any new burdens on
ambulance providers or suppliers, but rather offers an
optional, alternative method, for satisfying the
beneficiary signature requirement. We do not agree with
the commenters that it is a significant burden on ambulance
providers and suppliers to comply with the proposed
signature and documentation requirements in order to meet
the proposed exception for nonemergency ambulance
transports when a beneficiary is incapable of signing a
claim form; however, those ambulance providers and
suppliers that believe that the signature and documentation
requirements of the new exception at §424.36(b)(6) are
burdensome may avail themselves of the other means
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