Federal category
Survey Certification Enforcement
Requirements about surveys, certification actions, enforcement remedies, penalties, appeals, corrective actions, and regulatory review.
Cascade
Source collection
Federal
Category group
Governance Quality Compliance
Category
Survey Certification Enforcement
Grouped by instrument
Expand an instrument to inspect matching provisions
Instruments
7
Shown
12
Citation
42 CFR § 424.515
Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
To maintain Medicare billing privileges, a provider or supplier (other than a DMEPOS supplier) must resubmit and recertify the accuracy of its enrollment information every 5 years.
Group
Payment Program Integrity
Category
Provider Enrollment
Domain
Billing Reimbursement
Topics
Medicare revalidation, Enrollment information updates
Citation
42 CFR § 424.535
Revocation of enrollment in the Medicare program.
Group
Payment Program Integrity
Category
Provider Enrollment
Domain
Billing Reimbursement
Topics
Medicare enrollment revocation, Provider billing privileges
Citation
42 CFR § 424.82
Revocation of right to receive assigned benefits.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Medicare payment revocation, Billing compliance enforcement