Provider Enrollment Rebuttal Process

MLN Matters Number: MM10978
Related CR Release Date: September 27, 2019
Related CR Transmittal Number: R904PI
Related Change Request (CR) Number: 10978
Effective Date: December 31, 2019
Implementation Date: December 31, 2019

Change Request (CR) 10978 puts into operation the provision under 42 C.F.R. Section 424.545(b), which permits providers/suppliers whose Medicare billing privileges are deactivated to file a rebuttal. CR 10978 provides instructions for MACs to advise providers/suppliers of their rebuttal rights, as well as for receiving and processing rebuttals.

A copy of the rebuttal submission form can be viewed in Attachment 2 of CR 10978. Make sure your billing staffs are aware of these instructions.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)10978.


            Last Updated Wed, 02 Oct 2019 10:52:41 +0000