Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.2

Requirement to Maintain Medicare Billing Privileges and

Last amended: 2008Year: 2008Length: 122 wordsOfficial source
30.2 - Requirement to Maintain Medicare Billing Privileges and Accreditation (Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08) A contract supplier must satisfy the enrollment standards specified in 42 CFR §424.57(c), meet applicable quality standards (both general quality standards and product specific quality standards) developed by CMS in accordance with section 1834(a)(20) of the Act, and be accredited by a CMS-approved accreditation organization for the duration of the contract period. Contract suppliers must maintain appropriate enrollment and accreditation throughout the term of their contracts. The contract supplier must notify the CBIC in writing at the US postal or certified (physical) mailing address identified in the supplier’s contract within five (5) business days of any changes to its Medicare billing privileges or accreditation status.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.2: Requirement to Maintain Medicare Billing Privileges and | Justis AI