Massachusetts Medical Society: Medicare Temporarily Delays Enforcement of Enrollment Requirements

Medicare Temporarily Delays Enforcement of Enrollment Requirements

For technical reasons, Medicare has indefinitely delayed enforcing its requirement that physicians must be enrolled in Medicare to be reimbursed for Part B claims from imaging centers, labs, Part A home health agencies, and durable medical equipment, orthotics and supplies.

The policy was originally scheduled to take effect on May 1, and would have applied to all physicians, except for those had a valid opt-out certificate on file with their local Medicare contractor.

We anticipate that once the technical problems are resolved, the requirement will be reinstated. In the interim, Medicare will continue to send informational messages for claims that would have been denied had the policy been in place. Therefore we urge physicians who are not yet enrolled to do so, or to apply for an exemption.

When it's finally implemented, the policy will not apply to referrals to physician specialists, or orders for Part D and Part B drugs.

For more information about the Medicare enrollment process, download this fact sheet (.pdf), or visit the AMA website on Medicare enrollment.

Share on Facebook

Find Your Legislator

Click here to enter your address and get a list of your federal representatives, state legislators, and your local polling place.

Find Your Legislator »

Mass. State Agencies

State House - Mass. State AgenciesRapid access to resources about MassHealth, Public Health, Board of Medicine, and more.

Read More »


Copyright © 2018. Massachusetts Medical Society, 860 Winter Street, Waltham Woods Corporate Center, Waltham, MA 02451-1411

(781) 893-4610 | (781) 893-3800 | Member Information Hotline: (800) 322-2303 x7311