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CMS Will Allow Nonparticipating Physicians to Start Participating in Medicare
July 16 Is Last Day to Change Status
By News Staff
Nonparticipating physicians who would like to participate in the program should download and complete the Medicare Participating Physician or Supplier Agreement, Form CMS-460 (4-page PDF; About PDFs).
According to the agency, "any new CMS-460 form received during this limited enrollment period will be retroactive for claims with dates of service of Jan. 1, 2010, and later."
However, the change in participation status will only apply to new Medicare physician fee schedule claims submitted after the physician's new status as a participating physician is processed, according to CMS. "Claims previously submitted and processed will not be adjusted for only a change in participation status."
Medicare claims administration contractors and carriers will accept and process requests to become participating physicians submitted on the CMS-460 form. The requests have to be postmarked on or before July 16.
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