42 CFR Subpart P - Requirements for Establishing and Maintaining Medicare Billing Privileges

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  1. § 424.500 Scope.
  2. § 424.502 Definitions.
  3. § 424.505 Basic enrollment requirement.
  4. § 424.506 National Provider Identifier (NPI) on all enrollment applications and claims.
  5. § 424.507 Ordering covered items and services for Medicare beneficiaries.
  6. § 424.510 Requirements for enrolling in the Medicare program.
  7. § 424.514 Application fee.
  8. § 424.515 Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
  9. § 424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program.
  10. § 424.517 Onsite review.
  11. § 424.518 Screening levels for Medicare providers and suppliers.
  12. § 424.519 Disclosure of affiliations.
  13. § 424.520 Effective date of Medicare billing privileges.
  14. § 424.521 Request for payment by certain provider and supplier types.
  15. § 424.522 Additional effective dates.
  16. § 424.525 Rejection of a provider's or supplier's application for Medicare enrollment.
  17. § 424.526 Return of a provider's or supplier's enrollment application.
  18. § 424.530 Denial of enrollment in the Medicare program.
  19. § 424.535 Revocation of enrollment in the Medicare program.
  20. § 424.540 Deactivation of Medicare billing privileges.
  21. § 424.545 Provider and supplier appeal rights.
  22. § 424.546 Deactivation rebuttals.
  23. § 424.550 Prohibitions on the sale or transfer of billing privileges.
  24. § 424.555 Payment liability.
  25. § 424.565 Overpayment.
  26. § 424.570 Moratoria on newly enrolling Medicare providers and suppliers.
Source:
71 FR 20776, Apr. 21, 2006, unless otherwise noted.

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