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Practitioners' 2008 Medicare opt out status finalized on February 15

Credentialing Resource Center Connection, February 21, 2008

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Organizations can now verify a practitioner's opt out status with confidence that it will not change for the rest of the year. The Centers for Medicare & Medicaid Services (CMS) gave practitioners until February 15 to decide their CMS reimbursement status for 2008. "Physicians have three choices regarding Medicare: be a participating provider; be a nonparticipating provider; or opt out of Medicare entirely," according to a February 4 article on California Physician, a Web site run by the California Medical Association.

Although there is no requirement by an accrediting organization for MSPs to verify a practitioner's opt-out status, many still do. Those that do consider it part of a complete credentialing process, and these verifications help hospitals know which practitioners are eligible to receive CMS payments for treating Medicare and Medicaid patients.

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