Final adverse action

Final adverse action means one or more of the following actions:
(i) A Medicare-imposed revocation of any Medicare billing privileges.
(ii) Suspension or revocation of a license to provide health care by any State licensing authority.
(iii) Revocation for failure to meet DMEPOS quality standards.
(iv) A conviction of a Federal or State felony offense (as defined in ยง 424.535(a)(3)(i) within the last 10 years preceding enrollment, revalidation, or re-enrollment.
(v) An exclusion or debarment from participation in a Federal or State health care program.


42 CFR § 424.57

Scoping language

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