42 C.F.R. §424.555 - Payment liability

Cite as42 C.F.R. §424.555
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3 cases
  • Goffney v. Becerra, 19-56368
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • April 29, 2021
    ...as providers. 42 U.S.C. § 1395x(d), (u).) Billing privileges are not permanent—once approved, they may be revoked or deactivated. 42 C.F.R. § 424.555(b). A revocation "means that ... billing privileges are terminated." Id. § 424.502. A deactivation "means that ... billing privileges were st......
  • Golden Home Health Care, LLC v. Verma, Case No. 2:20-cv-2954
    • United States
    • United States District Courts. 6th Circuit. United States District Courts. 6th Circuit. Southern District of Ohio
    • August 26, 2020
    ...stoppage of payment is properly viewed as aPage 29 limitation on the Medicare certification of the provider." (Id. at 9-10 (quoting 42 C.F.R. § 424.555(b).) The ODM Director further explains that it does not disagree with Plaintiffs' contention that the regulations, as explained by CMS thro......
  • Breton L. Morgan, M.D., Inc. v. Azar, CIVIL ACTION NO. 3:19-0406
    • United States
    • United States District Courts. 4th Circuit. Southern District of West Virginia
    • April 24, 2020
    ...matter, the Court notes that CMS is legally bound to withhold payment from suppliers whose billing privileges have been revoked. See 42 C.F.R. § 424.555(b) ("No payment may be made for otherwise Medicare covered items or services furnished to a Medicare beneficiary by a provider or supplier......

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