Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 10.5

Responsibilities of Participating Provider

Last amended: 2002Year: 2002Length: 209 wordsOfficial source
10.5 - Responsibilities of Participating Provider (Rev. 1, 09-11-02) Upon acceptance for participation, a provider becomes responsible for remaining in compliance with the terms of the agreement and the provisions of title XVIII and regulations issued thereunder. Where the agreement is made retroactive, the provider must comply with its responsibilities as of the retroactive date. Payment to the provider for covered items and services it furnishes on or after the effective date of the agreement will require that the provider have a recordkeeping capability sufficient for determining the cost of services furnished Medicare beneficiaries. The termination of participation (see §10.6 of this chapter) does not immediately abrogate all of the provider's responsibilities and in specific matters a responsibility may extend beyond the effective date of termination. For example, the provider continues to be responsible (as applicable) for those provisions of the law and regulations which provide for program coverage to remain in effect for specified periods of time beyond the effective termination date, for those beneficiaries who were accepted for care and treatment by the provider before such date. The provider also continues to be responsible for filing a final cost report and/or the repayment of any overpayment, as these actions relate to final program cost settlement after termination.
Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 10.5: Responsibilities of Participating Provider | Justis AI