tci Medicare Compliance & Reimbursement - 2013 Issue 13

PECOS: Get The Skinny On Enrollment Specifications To Avoid Giving Away Services

Enjoy these advantages to submitting your Medicare credentialing application electronically. The Centers for Medicare & Medicaid Services (CMS) announcement that practices owing back payments to Medicare would be denied enrollment applications has many providers asking questions. The new directive, announced in MLN Matters article MM8039, issued on May 31 and effective on Oct. 1, will have an impact beyond applicants who owe Medicare money. Practitioners can be denied even if a partner at the practice owes money. "An enrollment application may be denied if the current owner of the applying provider or supplier or if the applying physician or...

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