US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P)
Enrolling: application content, signatures, fees, screening, affiliations and onsite review (424.507 to 424.519) – US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P)

US Medicare Provider and Supplier Enrollment (42 CFR Part 424 Subpart P) 424.510(d)(4)-(9),(e): Be operational and verifiable at the practice location, complete any required State survey, certification and provider agreement, submit to onsite review, meet the HHA initial reserve operating funds requirement, and receive payment by electronic funds transfer

What does 424.510(d)(4)-(9),(e) require?

Information on the application must be such that CMS can validate it for accuracy at submission; providers and suppliers that Part 488 requires to be surveyed or certified and to sign a provider agreement under Part 489 must complete those steps; the provider or supplier must be operational to furnish Medicare-covered items or services before billing privileges are granted; it must meet the additional compliance and reporting requirements of 424.520; CMS may perform onsite inspections to verify the enrollment information and compliance, and may find a Part A provider or Part B supplier no longer operational or non-compliant; a home health agency must satisfy the initial reserve operating funds requirement of 489.28 at enrollment and for the first three months after billing privileges are conveyed; and all providers and suppliers must agree to receive Medicare payments by electronic funds transfer, submitting Form CMS-588 at enrollment, on any change request, revalidation or change of contractor.

Maintained by Gerard Blokdyk

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