decisionhealth Newsletters, Part B News - 2009 Issue 10 (October)
CMS says carriers can visit practice locations to verify address
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Article Overview
This article covers CMS direction allowing Medicare carriers to make unannounced site visits to confirm that a practice is operating at the address on file. It is aimed at physicians, practice managers, and billing staff who handle enrollment information and Medicare billing privileges. The discussion focuses on carrier verification activity, enrollment record accuracy, and the administrative consequences of outdated practice-location information.
Why This Topic Matters
Keeping enrollment and practice-location data current can help avoid disruptions to Medicare billing privileges if a carrier verifies the site on file and finds the practice no longer operating there.
What You Will Learn
- Why Medicare carriers may visit a practice location on file
- What types of practice information should be kept current with the carrier
- How site visits relate to Medicare enrollment records and billing privileges
- Which operational details a carrier may observe during a practice-location verification
- What steps practices can take to confirm the correct address is on file
Who Should Read This
- Physicians
- Practice managers
- Medical billing staff
- Enrollment staff
- Healthcare administrators
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