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CENTERS FOR MEDICARE & MEDICAID SERVICES. INSTRUCTIONS FOR THE MEDICARE PARTICIPATING PHYSICIAN. AND SUPPLIER AGREEMENT (CMS-460) To sign a participation agreement is to agree to accept assignment for all covered services that you provide to Medicare patients.
4:05 5:17 Enrollment: CMS 460 Participation Agreement - YouTube YouTube Start of suggested clip End of suggested clip Number for a sole proprietor at the bottom of the page have the provider. Sign date and list theMoreNumber for a sole proprietor at the bottom of the page have the provider. Sign date and list the office phone number this cannot be the contact person it must be the provider.
Participating supplier means a supplier that has an agreement with CMS to participate in Part B of Medicare in effect on the date of the service. (3) To an entity that pays the physician or other supplier under a health benefit plan, in accordance with § 424.66 of this chapter.
What is the 855A? \u2756 The Medicare Enrollment Application for Institutional Providers. \u2756 This form is also used to submit changes to your enrollment data.
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