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Revocation of billing privileges in Medicare

If the individual or organization reports a change in practice location more than 30 days after the effective date of the change, the contractor shall not revoke the supplier’s billing privileges on this basis. However, if the contractor independently determines – through an on-site inspection under 42 CFR 424.535(a)(5)(ii) or via another verification process - that the individual’s or organization’s address has changed and the supplier has not notified the contractor of this within the aforementioned 30-day timeframe, the contractor may revoke the supplier’s billing privileges.

Source: CMS Manual System

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Summer 2016 Bulletin

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