US · guidance
CMS Pub. 100-04, ch. 6, § 80.3
Information Necessary to Permit Payment to a Facility
SNF-510.1
A facility may ordinarily qualify to receive Part B payment for the services of physicians
in the facility by submitting a Form CMS-855R to its A/B MAC (A), certifying that it
will bill for their services only as called for by its written contractual arrangements.
For purposes of Medicare benefits payable for the services, this agreement may be
terminated by either party upon written notice to the other, but such termination is not
binding upon Medicare until two weeks after the A/B MACs (A) receives a revised Form
CMS-855R notice of this termination.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
f7b262c61e9aa32ed7268fe790c6b15621d3cea385010ccf23afd6600f0a85bc
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