Do You Need to Notify Medicare of a Change in Your Practice?
by Legal and Regulatory Affairs Staff
September 30, 2008—The Centers for Medicare & Medicaid Services (CMS) has posted new fact sheets online listing the types of changes that physicians, non-physician providers and group practices are required to report to Medicare within 90 days of the applicable change. This information is accessible from the Medicare Provider Enrollment page at: http://www.cms.hhs.gov/MedicareProviderSupEnroll/.
Psychologists enrolled in the Medicare program should read the fact sheets to know if and when they need to submit a report. Changes in a practice's location, business structure or legal business name are among the reasons a psychologist would be required to notify Medicare.
The fact sheets also indicate which forms need to be submitted to report the changes and where practitioners may seek assistance. Not reporting a change may adversely affect claims processing, claims payment amounts and eligibility of a non-physician provider or group practice to participate in Medicare.
The links to the fact sheets for non-physician practitioners and group practices are:
Reporting Responsibilities for Individual Non-Physician Practitioners Enrolled in the Medicare Program
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/Non-PhysicianReportingResponsibilities.pdf
Reporting Responsibilities for Group Practices Enrolled in the Medicare Program
http://www.cms.hhs.gov/MedicareProviderSupEnroll/Downloads/GroupPracticeReportingResponsibilities.pdf
DoYouNeedToNotifyMedicareOfAChangeInYourPractice.pdf
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