2014 Medicare Participation Deadline Extended

Jan. 31 is the new deadline for physicians to decide whether to participate in the Medicare program in 2014. The deadline originally was Dec. 31, but the Centers for Medicare & Medicaid Services (CMS) extended it because CMS released the 2014 physician fee schedule later than usual. 

You do not have to do anything if you wish to continue participating in Medicare next year.

You have three options in deciding whether to participate in 2014:

  • Sign a participation (PAR) agreement and accept Medicare's allowed charges as payment in full for all Medicare covered services for your Medicare patients.  
  • Elect nonparticipation (non-PAR), which permits you to make assignment decisions on a case-by-case basis and to bill patients up to the Medicare limiting charge for unassigned claims. 
  • Opt out and become a private contracting physician, agreeing to bill patients directly and to forego any payments from Medicare to you or your patients. To become a private contractor, PAR physicians must give 30 days' notice before the first day of the quarter the contract takes effect. For non-PAR physicians, the opt-out effective date is the date the affidavit is signed, provided it is filed within 10 days after the physician signs his or her first private contract with a Medicare beneficiary.

Log on to the Novitas Enrollment Center  for more information and links to CMS forms and the online application process.


Action, Dec. 16, 2013


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