42 CFR Subpart P
Requirements for Establishing and Maintaining Medicare Billing Privileges
June 11, 2020
§
424.502
Definitions
§
424.500
Scope
§
424.505
Basic enrollment requirement
§
424.506
National Provider Identifier (NPI) on all enrollment applications and claims
§
424.507
Ordering covered items and services for Medicare beneficiaries
§
424.510
Requirements for enrolling in the Medicare program
§
424.514
Application fee
§
424.515
Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information
§
424.516
Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program
§
424.517
Onsite review
§
424.518
Screening levels for Medicare providers and suppliers
§
424.519
Disclosure of affiliations
§
424.520
Effective date of Medicare billing privileges
§
424.521
Request for payment by physicians, non-physician practitioners, physician and non-physician organizations, ambulance suppliers, and opioid treatment programs
§
424.525
Rejection of a provider or supplier's enrollment application for Medicare enrollment
§
424.530
Denial of enrollment in the Medicare program
§
424.535
Revocation of enrollment in the Medicare program
§
424.540
Deactivation of Medicare billing privileges
§
424.545
Provider and supplier appeal rights
§
424.550
Prohibitions on the sale or transfer of billing privileges
§
424.555
Payment liability
§
424.565
Overpayment
§
424.570
Moratoria on newly enrolling Medicare providers and suppliers
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