CMSFORM.ORG – CMS 460 – MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT – The Centers for Medicare and Medicaid Services (CMS) is in the process of revising its payment policies for physicians and suppliers. One such policy change is CMS’s proposed revision to its Medicare Part C Participating Physician or Supplier Agreement (PCPA) policies. The PCPA is a contract between a physician or supplier and CMS that outlines the terms and conditions under which the provider will be paid for services rendered to Medicare beneficiaries.
Download CMS 460 – MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT
| Form Number | CMS 460 |
| Form Title | MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT |
| Published | 2022-11-01 |
| O.M.B. | 0938-0373 |
| File Size | 205 KB |
What is a CMS 460?
The CMS 460 is a Medicare Participating Physician or Supplier Agreement form that is used by medical practitioners to enroll in the Medicare program. The form outlines the terms and conditions of participation in Medicare, including the responsibilities of both the physician or supplier and the federal government.
By completing and submitting this form, physicians agree to accept Medicare’s approved payment rates as full payment for their services. This means that they cannot charge patients more than what has been approved by Medicare for a specific medical service or procedure. Additionally, participating physicians are required to submit claims electronically to Medicare and must maintain accurate records of all services provided.
The purpose of the CMS 460 form is to ensure that healthcare providers who participate in the Medicare program adhere to certain standards of care and billing practices. By signing this agreement, physicians demonstrate their commitment to providing quality care while also helping to control healthcare costs for patients enrolled in Medicare.
Where Can I Find a CMS 460?
A CMS 460 form is a crucial document for healthcare providers who want to participate in the Medicare program. This form outlines the terms and conditions that physicians or suppliers must agree to before they can bill Medicare for their services. To obtain this form, you can visit the official website of the Centers for Medicare & Medicaid Services (CMS). The CMS website provides various forms, including Form CMS-460, which is available as a PDF file.
Alternatively, you may also request a copy of Form CMS-460 by contacting your local Medicare Administrative Contractor (MAC) office. MACs are responsible for processing claims and providing information regarding Medicare enrollment and participation requirements. You can find your local MAC’s contact information on the CMS website.
It’s essential to ensure that you have completed all sections of Form CMS-460 accurately and truthfully before submitting it to your MAC office. Any incomplete or incorrect information could result in delays or even rejection of your application to participate in the Medicare program as a physician or supplier.
CMS 460 – MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENT
The CMS 460 form is an agreement between Medicare and physicians or suppliers who wish to participate in the Medicare program. This agreement requires that the physician or supplier agrees to accept payment from Medicare for services rendered, and also agrees to follow all Medicare rules and regulations. In addition, the agreement outlines the responsibilities of both parties, including record-keeping requirements, submission of claims for payment, and compliance with anti-fraud laws.
One important aspect of the CMS 460 agreement is its provisions regarding the assignment of benefits. Physicians and suppliers who participate in Medicare must agree to accept the assignment of benefits from their patients – meaning they will be paid directly by Medicare for covered services provided to beneficiaries. This ensures that patients do not have to pay out-of-pocket expenses upfront when receiving medical care.
Overall, signing a CMS 460 agreement is an important step for physicians and suppliers who wish to provide care for Medicare beneficiaries. Doing so helps ensure compliance with government regulations while also making it easier for patients to receive necessary healthcare services without financial burden.
CMS 460 – Example
