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January 25, 2018

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Physicians Get Extension for Participation Decisions

January 8, 2008:
The -10.1 percent change to the physician fee schedule conversion factor that was to be effective January 1 through June 30, 2008, has been changed to a 0.5 percent increase.

The revision is part of the Medicare, Medicaid and SCHIP Extension Act of 2007, which made several changes affecting payments to physicians. To give physicians time to review the changes before agreeing to accept Medicare payment, the Centers for Medicare and Medicaid Services (CMS) is extending the participation decision period an additional 45 days. This means that the decision period now runs through February 15, 2008, instead of ending on December 31, 2007.

A provider must complete form CMS-460 in order to become a participating physician. The form, which was mailed to providers in mid November (or it can be obtained on the CMS website), must be completed, signed, and mailed to your local contractor and post-marked by February 15, 2008. If you elect to change your participation status to nonparticipating, CMS requests that you notify your local contractor by letter, post-marked no later then February 15, 2008.

Deborah C. Hall
Clinical/Technical Editor


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