Is your Medicare enrollment record up to date?

April 6, 2010 — If you change office locations, change your business name, or change your business structure, you must report these changes to your Medicare contractor.

The Centers for Medicare and Medicaid Services (CMS) has developed a complete list of provider reporting requirements along with the timeframes within which providers must report specific changes. It is very important to be aware of these requirements because if changes are not reported in a timely fashion, a provider’s billing privileges can be revoked.

Additionally, in an effort to validate enrollment records, CMS has also indicated that it is conducting more on-site inspections to determine if a provider is practicing at the location on record.

For more information about what to expect during an on-site inspection, go to page 267 of the Medicare Provider/Supplier Enrollment Chapter of CMS’s program integrity manual. For a list of frequently asked questions about the Medicare enrollment process, click here.

Source: American Chiropractic Association, www.acatoday.org