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Provider Inquiry Assistance - Edits on the Ordering/Referring Providers in Medicare Part B Claims (Change Requests (CRs) 6417, 6421, and 6696) – JA1011

Guidance for Provider types affected are physicians, non-physician practitioners (including residents, fellows, and those employed by the Department of Veterans Affairs or the Public Health Service) who order or refer items or services for Medicare beneficiaries, Part B providers, and suppliers who submit claims to carriers, Part B MACs, and DME MACs for items or services that they furnished as the result of an order or a referral.

Download the Guidance Document

Final

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

Issue Date: April 06, 2010

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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.