Medicare Enrollment Delays If Overpayment Exists


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Topic Medicare Enrollment Delays If Overpayment Exists
Background Medicare contractors may deny a Form CMS-855 enrollment application if the current owner of the enrolling provider or supplier or the enrolling physician or nonphysician practitioner has an existing or delinquent overpayment that has not been repaid in full at the time an application for new enrollment or Change of Ownership (CHOW) is filed.
Regulating Body Centers for Medicare & Medicaid Services (CMS)
Compliance Date 10/1/2013
Consequences Medicare enrollment may be delayed.
Next Steps Physicians should verify they have no existing overpayment requests from CMS before submitting enrollment information.​
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