Federal (United States) · Regulations
Subpart P — Requirements for Establishing and Maintaining Medicare Billing Privileges
32 sections
32 sections
- 42 C.F.R. § 424.500Scope.
- 42 C.F.R. § 424.502Definitions.
- 42 C.F.R. § 424.505Basic enrollment requirement.
- 42 C.F.R. § 424.506National Provider Identifier (NPI) on all enrollment applications and claims.
- 42 C.F.R. § 424.507Ordering covered items and services for Medicare beneficiaries.
- 42 C.F.R. § 424.510Requirements for enrolling in the Medicare program.
- 42 C.F.R. § 424.514Application fee.
- 42 C.F.R. § 424.515Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
- 42 C.F.R. § 424.516Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program.
- 42 C.F.R. § 424.517Onsite review.
- 42 C.F.R. § 424.518Screening levels for Medicare providers and suppliers.
- 42 C.F.R. § 424.519Disclosure of affiliations.
- 42 C.F.R. § 424.520Effective date of Medicare billing privileges.
- 42 C.F.R. § 424.521Request for payment by certain provider and supplier types.
- 42 C.F.R. § 424.522Additional effective dates.
- 42 C.F.R. § 424.525Rejection of a provider's or supplier's application for Medicare enrollment.
- 42 C.F.R. § 424.526Return of a provider's or supplier's enrollment application.
- 42 C.F.R. § 424.527Provisional period of enhanced oversight.
- 42 C.F.R. § 424.530Denial of enrollment in the Medicare program.
- 42 C.F.R. § 424.535Revocation of enrollment in the Medicare program.
- 42 C.F.R. § 424.540Deactivation of Medicare billing privileges.
- 42 C.F.R. § 424.541Stay of enrollment.
- 42 C.F.R. § 424.542Prohibition on ordering, certifying, referring, or prescribing based on felony conviction.
- 42 C.F.R. § 424.545Provider and supplier appeal rights.
- 42 C.F.R. § 424.546Deactivation rebuttals.
- 42 C.F.R. § 424.547Deactivation based on ordering, certifying, or referring services and items.
- 42 C.F.R. § 424.550Prohibitions on the sale or transfer of billing privileges.
- 42 C.F.R. § 424.551DMEPOS supplier changes in majority ownership.
- 42 C.F.R. § 424.555Payment liability.
- 42 C.F.R. § 424.565Overpayment.
- 42 C.F.R. § 424.570Moratoria on newly enrolling Medicare providers and suppliers.
- 42 C.F.R. § 424.575Rural emergency hospitals.