tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Industry Notes: Decide on Medicare Provider Participation By EOY

If you’re not a Medicare participating (PAR) provider but are toying with the idea of enrolling, the window is open. But don’t delay, as your 2023 decision is due soon. Details: Between Nov. 15 and Dec. 31 of each year, the Centers for Medicare & Medicaid Services (CMS) has an open enrollment period for interested providers for participation in the upcoming year. “A participating provider enters into an agreement (CMS-460) (PDF) to accept the Medicare-approved amount as full payment for services and supplies covered under Part B,” notes Part B Medicare Administrative Contractor (MAC) Palmetto...

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