Do you need to notify Medicare of a change in your practice?

Practitioners enrolled in the Medicare program have 90 days to report changes such as a new practice location, business structure or legal business name

by Legal and Regulatory Affairs Staff

September 30, 2008 — The Centers for Medicare & Medicaid Services (CMS) has posted new fact sheets online listing the types of changes that physicians, nonphysician providers and group practices are required to report to Medicare within 90 days of the applicable change. This information is accessible from the Medicare Provider Enrollment page.

Psychologists enrolled in the Medicare program should read the fact sheets to know if and when they need to submit a report. Changes in a practice's location, business structure or legal business name are among the reasons a psychologist would be required to notify Medicare.

The fact sheets also indicate which forms need to be submitted to report the changes and where practitioners may seek assistance. Not reporting a change may adversely affect claims processing, claims payment amounts and eligibility of a nonphysician provider or group practice to participate in Medicare.

The links to the fact sheets for nonphysician practitioners and group practices are:

Reporting Responsibilities for Individual Non-Physician Practitioners Enrolled in the Medicare Program

Reporting Responsibilities for Group Practices Enrolled in the Medicare Program