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 supplier’s billing privileges is effective 30 days after CMS or the CMS contractor mails notice of its determination to the provider or supplier. A revocation based on Federal exclusion or debarment is effective with the date of the exclusion or debarment.” During the 30 days after CMS or our contractor mails a revocation notice to a provider or supplier, the provider or supplier is afforded the opportunity to submit a corrective action plan. A corrective action plan gives a provider or supplier an opportunity to provide evidence that demonstrates that the provider or supplier is in compliance with Medicare requirements. Moreover, a provider or supplier can use a corrective action plan to correct the deficiency without filing an appeal under 42 CFR part 498, and remain in the Medicare program when the provider demonstrates that the provider or supplier is in compliance with Medicare requirements and the Medicare contractor accepts the corrective action plan. In those situations where a provider or supplier submits an acceptable corrective action plan, the provider or supplier maintains their billing privileges and the revocation determination is not implemented. We maintain that providers or suppliers are able to provide sufficient evidence through a corrective action 776
CMS-1403-FC plan that demonstrates that they are in compliance with Medicare requirements when CMS or our contractor imposes a revocation based on certain types of adverse actions such as a Federal exclusion or debarment. Accordingly, consistent with revoking billing privileges with the date of exclusion or debarment, we believe that similarly situated revocations such as felony convictions and license suspension or revocation do not lend themselves to a corrective action plan and that the revocation should be effective with the date of the felony conviction or the license suspension or revocation. Moreover, we maintain that when CMS or our contractor determines that a provider or supplier, including a DMEPOS supplier, is no longer operating at the practice location provided to Medicare on a paper or electronic Medicare enrollment application that the revocation should be effective with the date that CMS or our contractor determines that the provider or supplier is no longer operating at the practice location. Further, while we do not believe that revocations based on felony convictions, license suspension or revocation, or a revocation based on a provider or a supplier no longer being operational at a specific practice location, lend themselves to a corrective action plan, we believe that these providers and suppliers should be 777
- Page 725 and 726: CMS-1403-FC is associated with a te
- Page 727 and 728: CMS-1403-FC facility in which a tec
- Page 729 and 730: CMS-1403-FC by the Medicare program
- Page 731 and 732: CMS-1403-FC pressure (CPAP)” and
- Page 733 and 734: CMS-1403-FC for example chronic obs
- Page 735 and 736: CMS-1403-FC thus they believe leadi
- Page 737 and 738: CMS-1403-FC Excepting attended faci
- Page 739 and 740: CMS-1403-FC supplier separately. Ho
- Page 741 and 742: CMS-1403-FC final rule’s provisio
- Page 743 and 744: CMS-1403-FC as a DME supplier and p
- Page 745 and 746: CMS-1403-FC Moreover, given our gen
- Page 747 and 748: CMS-1403-FC resources and infrastru
- Page 749 and 750: CMS-1403-FC Comment: Several commen
- Page 751 and 752: CMS-1403-FC organization through a
- Page 753 and 754: CMS-1403-FC After reviewing the pub
- Page 755 and 756: CMS-1403-FC the nonparticipating ho
- Page 757 and 758: CMS-1403-FC be costly and burdensom
- Page 759 and 760: CMS-1403-FC adopting our proposal t
- Page 761 and 762: CMS-1403-FC We are not persuaded to
- Page 763 and 764: CMS-1403-FC §424.36(b)(6)(ii)(C)(2
- Page 765 and 766: CMS-1403-FC be made to obtain the s
- Page 767 and 768: CMS-1403-FC willing to sign at the
- Page 769 and 770: CMS-1403-FC and not suppliers, may
- Page 771 and 772: CMS-1403-FC crew member would have
- Page 773 and 774: CMS-1403-FC In order to determine f
- Page 775: CMS-1403-FC retrieval of the variou
- Page 779 and 780: CMS-1403-FC conviction, license sus
- Page 781 and 782: CMS-1403-FC The following is a summ
- Page 783 and 784: CMS-1403-FC faith reduces the time
- Page 785 and 786: CMS-1403-FC suspension or revocatio
- Page 787 and 788: CMS-1403-FC 9 percent per year. 2 I
- Page 789 and 790: CMS-1403-FC magnetic resonance imag
- Page 791 and 792: CMS-1403-FC Committee for Quality A
- Page 793 and 794: CMS-1403-FC measures in CMS’ VBP
- Page 795 and 796: CMS-1403-FC the Boston program site
- Page 797 and 798: CMS-1403-FC conditions that are hig
- Page 799 and 800: CMS-1403-FC reports? ● Do physici
- Page 801 and 802: CMS-1403-FC most Evaluation and Man
- Page 803 and 804: CMS-1403-FC III. Medicare Improveme
- Page 805 and 806: CMS-1403-FC Specifically, section 1
- Page 807 and 808: CMS-1403-FC period. The public will
- Page 809 and 810: CMS-1403-FC Section 101(b) of the M
- Page 811 and 812: CMS-1403-FC 1 year after the effect
- Page 813 and 814: CMS-1403-FC applies to both adult m
- Page 815 and 816: CMS-1403-FC period is limited to th
- Page 817 and 818: CMS-1403-FC 2007 through 2010. In a
- Page 819 and 820: CMS-1403-FC Section 1848(m)(3)(D) o
- Page 821 and 822: CMS-1403-FC In addition to the prov
- Page 823 and 824: CMS-1403-FC during the 2009 and 201
- Page 825 and 826: CMS-1403-FC prescribers for 2009 ar
<strong>CMS</strong>-1403-FC<br />
plan that demonstrates that they are in compliance with<br />
Medicare requirements when <strong>CMS</strong> or our contractor imposes a<br />
revocation based on certain types of adverse actions such<br />
as a Federal exclusion or debarment. Accordingly,<br />
consistent with revoking billing privileges with the date<br />
of exclusion or debarment, we believe that similarly<br />
situated revocations such as felony convictions and license<br />
suspension or revocation do not lend themselves to a<br />
corrective action plan and that the revocation should be<br />
effective with the date of the felony conviction or the<br />
license suspension or revocation. Moreover, we maintain<br />
that when <strong>CMS</strong> or our contractor determines that a provider<br />
or supplier, including a DMEPOS supplier, is no longer<br />
operating at the practice location provided to Medicare on<br />
a paper or electronic Medicare enrollment application that<br />
the revocation should be effective with the date that <strong>CMS</strong><br />
or our contractor determines that the provider or supplier<br />
is no longer operating at the practice location.<br />
Further, while we do not believe that revocations<br />
based on felony convictions, license suspension or<br />
revocation, or a revocation based on a provider or a<br />
supplier no longer being operational at a specific practice<br />
location, lend themselves to a corrective action plan, we<br />
believe that these providers and suppliers should be<br />
777