Information Necessary to Permit Payment to a Facility

80.3 - Information Necessary to Permit Payment to a Facility (Rev. 1, 10-01-03) SNF-510.1 A facility may ordinarily qualify to receive Part B payment for the services of physicians in the facility by submitting a Form CMS-855R to its A/B MAC (A), certifying that it will bill for their services only as called for by its written contractual arrangements. For purposes of Medicare benefits payable for the services, this agreement may be terminated by either party upon written notice to the other, but such termination is not binding upon Medicare until two weeks after the A/B MACs (A) receives a revised Form CMS-855R notice of this termination.