Title 42

PART 424 SUBPART P

Subpart P - Requirements for Establishing and Maintaining Medicare Billing Privileges Source:71 FR 20776, Apr. 21, 2006, unless otherwise noted.

• 42 U.S.C. 1302 and 1395hh.
• Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

42:3.0.1.1.11.13.11.1	SECTION 424.500	424.500 Scope.
42:3.0.1.1.11.13.11.2	SECTION 424.502	424.502 Definitions.
42:3.0.1.1.11.13.11.3	SECTION 424.505	424.505 Basic enrollment requirement.
42:3.0.1.1.11.13.11.4	SECTION 424.506	424.506 National Provider Identifier (NPI) on all enrollment applications and claims.
42:3.0.1.1.11.13.11.5	SECTION 424.507	424.507 Ordering covered items and services for Medicare beneficiaries.
42:3.0.1.1.11.13.11.6	SECTION 424.510	424.510 Requirements for enrolling in the Medicare program.
42:3.0.1.1.11.13.11.7	SECTION 424.514	424.514 Application fee.
42:3.0.1.1.11.13.11.8	SECTION 424.515	424.515 Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
42:3.0.1.1.11.13.11.9	SECTION 424.516	424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program.
42:3.0.1.1.11.13.11.10	SECTION 424.517	424.517 Onsite review.
42:3.0.1.1.11.13.11.11	SECTION 424.518	424.518 Screening levels for Medicare providers and suppliers.
42:3.0.1.1.11.13.11.12	SECTION 424.519	424.519 Disclosure of affiliations.
42:3.0.1.1.11.13.11.13	SECTION 424.520	424.520 Effective date of Medicare billing privileges.
42:3.0.1.1.11.13.11.14	SECTION 424.521	424.521 Request for payment by physicians, non-physician practitioners, physician and non-physician organizations, ambulance suppliers, opioid treatment programs, and home infusion therapy suppliers.
42:3.0.1.1.11.13.11.15	SECTION 424.525	424.525 Rejection of a provider or supplier's enrollment application for Medicare enrollment.
42:3.0.1.1.11.13.11.16	SECTION 424.530	424.530 Denial of enrollment in the Medicare program.
42:3.0.1.1.11.13.11.17	SECTION 424.535	424.535 Revocation of enrollment in the Medicare program.
42:3.0.1.1.11.13.11.18	SECTION 424.540	424.540 Deactivation of Medicare billing privileges.
42:3.0.1.1.11.13.11.19	SECTION 424.545	424.545 Provider and supplier appeal rights.
42:3.0.1.1.11.13.11.20	SECTION 424.550	424.550 Prohibitions on the sale or transfer of billing privileges.
42:3.0.1.1.11.13.11.21	SECTION 424.555	424.555 Payment liability.
42:3.0.1.1.11.13.11.22	SECTION 424.565	424.565 Overpayment.
42:3.0.1.1.11.13.11.23	SECTION 424.570	424.570 Moratoria on newly enrolling Medicare providers and suppliers.

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