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Current as of January 02, 2025 | Updated by Findlaw Staff
(a) CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its agents is accurate and to determine compliance with Medicare enrollment requirements. Site visits for enrollment purposes do not affect those site visits performed for establishing compliance with conditions of participation. Based upon the results of CMS's onsite review, the provider may be subject to denial or revocation of Medicare billing privileges as specified in § 424.530 or § 424.535 of this part.
(1) Medicare Part A providers. CMS determines, upon on-site review, that the provider meets either of the following conditions:
(i) Is unable to furnish Medicare-covered items or services.
(ii) Has failed to satisfy any of the Medicare enrollment requirements.
(2) Medicare Part B providers. CMS determines, upon review, that the supplier meets any of the following conditions:
(i) Is unable to furnish Medicare-covered items or services.
(ii) Has failed to satisfy any or all of the Medicare enrollment requirements.
(iii) Has failed to furnish Medicare covered items or services as required by the statute or regulations.
(b) [Reserved]
Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.424.517 Onsite review - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-424-517/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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