The Centers for Medicare and Medicaid Service (CMS) reminds the providers on Final Adverse Action need to be reported on time.
Who should report final adverse action(s)?
What should be reported?
CMS NO LONGER requires Medicare Payment Suspensions and CMS-Imposed Medicare Revocations to be reported. The updated list of reportable Final Adverse:
When should be reported?
Exact time frames available here.
How should be reported?
Providers shall use CMS 855 or CMS20134 application forms. Sections that must be completed – 3, 5B, 6B and 7 – as it applies. CMS 855 form requires attachment of applicable documentation.
Reporting must be done even if the adverse action occurred in a different state than the provider is enrolled or seeks enrollment.
! Failure to comply with these requirements could result in the revocation of your Medicare billing privileges.
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