42 C.F.R. §424.520 - Effective date of Medicare billing privileges
| Cite as | 42 C.F.R. §424.520 |
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3 cases
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Goffney v. Becerra, 19-56368
...for services he had performed in the preceding decade.Goffney sought reconsideration, but Noridian denied his request. It relied on 42 C.F.R. § 424.520(d), which provides that "[t]he effective date for billing privileges for physicians" is "[t]he date of filing of a Medicare enrollment appl......
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Mahony v. Universal Pediatric Serv. Inc., 4:08–cv–00343–JEG.
...that health care organizations should report changes to existing enrollment within ninety days of the effective date of the change. 42 C.F.R. § 424.520(b). Since it appears that UPSI would indeed have had up to ninety days to report a change, Mahony's belief that UPSI was going to commit a ......
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Ramaswamy v. Burwell, Case No. 4:14CV971JCH.
...approved by a Medicare contractor or the date an enrolled physician ... first began furnishing services at a new practice location.’ 42 C.F.R. § 424.520(d) (emphasis added). The ‘date of filing’ is the date 83 F.Supp.3d 849that the Medicare contractor ‘receives' a signed provider/supplier e......
2 firm's commentaries
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Medicare Enrollment: A Primer and How to Avoid Traps for the Unwary
...489.28 of the Medicare regulations. 42 C.F.R. § 424.510(d)(9). [9] Program Integrity Manual, CMS Pub. 100-08, Ch. 15, § 15.3. [10] 42 C.F.R. § 424.520(a). [11] 42 C.F.R. § 489.13; Program Integrity Manual, CMS Pub. 100-08, Ch. 15, § 15.17.1. Although state survey agencies and accreditation ......
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CMS Issues Final Rule Designed to Enhance Agency Oversight of Medicare Providers and Strengthen Protections for Medicare Beneficiaries
...enrollment status based on a pattern of inaccurate or erroneous submissions. “Backbilling” by Ambulance Suppliers. Per the current 42 C.F.R. § 424.520(d), the effective date of billing privileges for physicians, non-physician practitioners, and physician/non-physician practitioner organizat......