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Carrier and Part A and Part B Medicare Administrative Contractors (A/B MACs) Implementation of Title 42 Code of Federal Regulations (CFR) Section 424.535

Title 42 CFR §424.535 (1-10) has the requirements a Medicare contractor or the Centers for Medicare and Medicaid Services (CMS) may revoke a currently enrolled provider or supplier’s Medicare billing privileges. 42 CFR §424.535 (10)(2)(h) states a physician organization, physician, non-physician practitioner or independent diagnostic testing facility (IDTF) must submit all claims for items and services furnished within 60 calendar days of the effective date of the revocation.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 28, 2010

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.