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

CMS-1403-FC
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
afforded appeal rights in 42 CFR part 498. We believe that
the appeals process will permit a provider or supplier who
believes that CMS or our contractor has made an incorrect
decision regarding revocation based on Federal exclusion or
debarment, felony conviction, license suspension or
revocation, or when we have determined that the provider or
supplier is no longer operating at the practice location
the opportunity to have CMS or our contractor reconsider
its initial revocation determination except for those
revocation determinations imposed under §424.535(a)(2),
(a)(3), and (a)(5).
6. Physician Resource Use Feedback Program
a. General Background
CMS’ Office of the Actuary estimates that the Medicare
PFS allowed charges have grown approximately 55 percent
from 2000 to 2007. 1 The Medicare Payment Advisory
Commission (MedPAC) reports that since 2000, total Medicare
spending for physicians’ services has climbed more than
1 CMS Office of the Actuary.
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