{"abstract":"This final rule implements various provider enrollment requirements. These include: Expanding the instances in which a felony conviction can serve as a basis for denial or revocation of a provider or supplier's enrollment; if certain criteria are met, enabling us to deny enrollment if the enrolling provider, supplier, or owner thereof had an ownership relationship with a previously enrolled provider or supplier that had a Medicare debt; enabling us to revoke Medicare billing privileges if we determine that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements; and limiting the ability of ambulance suppliers to \"backbill\" for services performed prior to enrollment.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2014/12/05/2014-28505.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":424,"title":42},{"chapter":null,"citation_url":null,"part":498,"title":42}],"citation":"79 FR 72500","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on February 3, 2015.","disposition_notes":null,"docket_ids":["CMS-6045-F"],"dockets":[],"document_number":"2014-28505","effective_on":"2015-02-03","end_page":72533,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2014/12/05/2014-28505.xml","html_url":"https://www.federalregister.gov/documents/2014/12/05/2014-28505/medicare-program-requirements-for-the-medicare-incentive-reward-program-and-provider-enrollment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2014-28505?publication_date=2014-12-05","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2014-12-05/2014-28505/mods.xml","not_received_for_publication":null,"page_length":34,"page_views":{"count":6447,"last_updated":"2026-07-28 10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2014-12-05/pdf/2014-28505.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2014-28505.pdf?1417641429","publication_date":"2014-12-05","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2014/12/05/2014-28505.txt","regulation_id_number_info":{"0938-AP01":{"issue":"201104","html_url":"https://www.federalregister.gov/regulations/0938-AP01/establishing-additional-medicare-provider-and-supplier-enrollment-safeguards-and-surety-bonds-for-dm","title":"Establishing Additional Medicare Provider and Supplier Enrollment Safeguards and Surety Bonds for DMEPOS (CMS-6045-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201104&RIN=0938-AP01&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AP01"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AP01/establishing-additional-medicare-provider-and-supplier-enrollment-safeguards-and-surety-bonds-for-dm","title":"Establishing Additional Medicare Provider and Supplier Enrollment Safeguards and Surety Bonds for DMEPOS (CMS-6045-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0080","supporting_documents_count":0,"docket_id":"CMS-2013-0080","regulation_id_number":"0938-AP01","title":"Medicare Program; Requirements for the Medicare Incentive Reward Program and Provider Enrollment (CMS-6045-P)","checked_regulationsdotgov_at":"2015-01-12T19:20:31Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":72500,"subtype":null,"title":"Medicare Program; Requirements for the Medicare Incentive Reward Program and Provider Enrollment","toc_doc":"Requirements for the Medicare Incentive Reward Program and Provider Enrollment","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Emergency medical services","Health facilities","Health professions","Kidney diseases","Medical devices","Medicare","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":79}