United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2014_register executive 2014-12-05 article Part IV Rules and Regulations D09002ee1c7f82d44 D09002ee1c7f82df9 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule implements various provider enrollment requirements. These include: Expanding the instances in which a felony conviction can serve as a basis for denial or revocation of a provider or supplier's enrollment; if certain criteria are met, enabling us to deny enrollment if the enrolling provider, supplier, or owner thereof had an ownership relationship with a previously enrolled provider or supplier that had a Medicare debt; enabling us to revoke Medicare billing privileges if we determine that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements; and limiting the ability of ambulance suppliers to "backbill" for services performed prior to enrollment. 79 FR 72500 https://www.govinfo.gov/app/details/FR-2014-12-05/2014-28505 2014-28505 fr05de14-14 RIN 0938-AP01 4120-01-P CMS-6045-F https://www.govinfo.gov/app/details/FR-2014-12-05/2014-28505 https://www.govinfo.gov/content/pkg/FR-2014-12-05/html/2014-28505.htm https://www.govinfo.gov/content/pkg/FR-2014-12-05/pdf/2014-28505.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Emergency Medical Services Health Professions Medicare 34 p. 72500 72533 79 FR 72500 Title 42 Part 405 42 CFR Part 405 Title 42 Part 424 42 CFR Part 424 Title 42 Part 498 42 CFR Part 498 RIN 0938-AP01 Medicare Program; Requirements for the Medicare Incentive Reward Program and Provider Enrollment; Federal Register Vol. 79, Issue RULE 2014-28505 IV DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2015-02-03 CMS-6045-F 4120-01-P 2014-28505 Final rule.

This final rule implements various provider enrollment requirements. These include: Expanding the instances in which a felony conviction can serve as a basis for denial or revocation of a provider or supplier's enrollment; if certain criteria are met, enabling us to deny enrollment if the enrolling provider, supplier, or owner thereof had an ownership relationship with a previously enrolled provider or supplier that had a Medicare debt; enabling us to revoke Medicare billing privileges if we determine that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements; and limiting the ability of ambulance suppliers to "backbill" for services performed prior to enrollment.

These regulations are effective on February 3, 2015. Frank Whelan, (410) 786-1302. Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Emergency Medical Services Health Professions Medicare Medicare Program: Requirements for the Medicare Incentive Reward Program and Provider Enrollment , http://www.whitehouse.gov/sites/default/files/omb/assets/regulatory_matters_pdf/a-4.pdf www.cms.hhs.gov Vol. 79, no. 234 Office of the Federal Register, National Archives and Records Administration 2014-12-05 continuing daily deposited born digital 439 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2014-12-05 P0b002ee18a625560 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr05de14 https://www.govinfo.gov/app/details/FR-2014-12-05 https://www.govinfo.gov/content/pkg/FR-2014-12-05/pdf/FR-2014-12-05.pdf https://www.govinfo.gov/content/pkg/FR-2014-12-05/xml/FR-2014-12-05.xml fdlp 72107 72538 DGPO 2014-12-05 2024-06-02 FR-2014-12-05 machine generated eng FR FR-2014-12-05 79 234