Appendix F - Medicare Carriers Manual / 140.1.2_-_Annual_Review_of_CRNA_Certifications

Why This Topic Matters

Organizations that bill Medicare for CRNA services need to understand how certification status is monitored and how changes in certification can affect billing privileges and contractor actions. The article helps readers identify the policy framework governing annual review and the handling of expired or terminated certification.

Article Sections

1. Policy update and annual review of CRNA certifications

   Explains the annual contractor review process for CRNA credential status and the related CMS communication of updated certification information. It also notes changes to how certification lists are handled over time.

2. Termination of billing privileges and review process

   Describes the administrative actions associated with expired or terminated certification status, including notice to affected parties and the opportunity for review if requested.