Medicare Benefit Policy Manual (Pub. 100-02), Ch. 15 § 40.33
Mandatory Claims Submission
40.33 - Mandatory Claims Submission
(Rev. 222, Issued: 05-13-16, Effective: 08-15-16, Implementation; 08-15-16)
Section 1848(g)(4) of the Act, “Physician/Practitioner Submission of Claims,” regarding mandatory claims
submission, does not apply once a physician or practitioner signs and submits an affidavit to the Medicare
contractor opting out of the Medicare program, for the duration of the physician’s or practitioner’s opt-out
period, unless the physician or practitioner knowingly and willfully violates a term of the affidavit.