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Regulations last checked for updates: Nov 22, 2024
Title 42 - Public Health last revised: Nov 19, 2024
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Title 42
Chapter IV
Part 424
Subpart P - Subpart P—Requirements for Establishing and Maintaining Medicare Billing Privileges
§ 424.500 - Scope.
§ 424.502 - Definitions.
§ 424.505 - Basic enrollment requirement.
§ 424.506 - National Provider Identifier (NPI) on all enrollment applications and claims.
§ 424.507 - Ordering covered items and services for Medicare beneficiaries.
§ 424.510 - Requirements for enrolling in the Medicare program.
§ 424.514 - Application fee.
§ 424.515 - Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information.
§ 424.516 - Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program.
§ 424.517 - Onsite review.
§ 424.518 - Screening levels for Medicare providers and suppliers.
§ 424.519 - Disclosure of affiliations.
§ 424.520 - Effective date of Medicare billing privileges.
§ 424.521 - Request for payment by certain provider and supplier types.
§ 424.522 - Additional effective dates.
§ 424.525 - Rejection of a provider's or supplier's application for Medicare enrollment.
§ 424.526 - Return of a provider's or supplier's enrollment application.
§ 424.527 - Provisional period of enhanced oversight.
§ 424.530 - Denial of enrollment in the Medicare program.
§ 424.535 - Revocation of enrollment in the Medicare program.
§ 424.540 - Deactivation of Medicare billing privileges.
§ 424.541 - Stay of enrollment.
§ 424.542 - Prohibition on ordering, certifying, referring, or prescribing based on felony conviction.
§ 424.545 - Provider and supplier appeal rights.
§ 424.546 - Deactivation rebuttals.
§ 424.550 - Prohibitions on the sale or transfer of billing privileges.
§ 424.555 - Payment liability.
§ 424.565 - Overpayment.
§ 424.570 - Moratoria on newly enrolling Medicare providers and suppliers.
§ 424.575 - Rural emergency hospitals.
authority:
42 U.S.C. 1302
and 1395hh
source:
53 FR 6634, Mar. 2, 1988, unless otherwise noted.
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