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Posting Date: 02/28/2019
Failure to Report Address Changes
Failure to Report Address Changes Providers who fail to report an address change will result in suspension of Medicare payment. All Medicare providers are responsible for providing their Medicare contractor with their current and [...]
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Posting Date: 03/26/2019
Failure to Report a Change in Bank Account Information
Failure to Report a Change in Bank Account Information Providers who fail to report a change in bank account information will result in suspension of Medicare payment and termination of Medicare billing privileges. All changes initiated by [...]
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Posting Date: 11/12/2021
Revocation
Revocation CMS may revoke a currently enrolled provider or supplier's Medicare billing privileges and any corresponding provider or supplier agreement for the following reasons: Abuse of billing privileges Failure to document or provide [...]
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Posting Date: 02/28/2019
Do Not Forward “DNF”
Do Not Forward “DNF” With implementation of the DNF initiative, contractors were required to use “return service requested” envelopes for hard copy RAs, hard-copy checks and returned EFT payments. If you are a provider that receives hard [...]
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Posting Date: 11/15/2021
Reactivation of Billing Privileges
Reactivation of Billing Privileges To reactivate your individual and/or group billing privileges, please follow instructions within the deactivation letter. Assisting with Reactivation Instructions for Accessing PECOS For first-time user, [...]
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Posting Date: 04/24/2018
Failure to Complete Revalidation
Failure to Complete Revalidation Avoid claims being rejected or termination of Medicare billing privileges by responding: by the revalidation due date timely to additional information requested Related Content Medicare Revalidation [...]
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Posting Date: 02/28/2019
Failure to Report a Critical Change
Failure to Report a Critical Change Providers and suppliers enrolled in Medicare are required to ensure strict compliance with Medicare regulations by submitting updates and changes to enrollment information in accordance with specified [...]
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Posting Date: 08/21/2018
Site Visit Failure
Site Visit Failure CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its agents is accurate and to determine compliance with Medicare [...]
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