Sec. 6405. PHYSICIANS WHO ORDER ITEMS OR SERVICES REQUIRED TO BE MEDICARE ENROLLED PHYSICIANS OR ELIGIBLE PROFESSIONALS
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## SEC. 6405 PHYSICIANS WHO ORDER ITEMS OR SERVICES REQUIRED TO BE MEDICARE ENROLLED PHYSICIANS OR ELIGIBLE PROFESSIONALS ###
(a)DME Section 1834(a)(11)(B) of the Social Security Act (42 U.S.C. 1395m(a)(11)(B)) is amended by striking “physician” and inserting “physician enrolled under section 1866(j) or an eligible professional under section 1848(k)(3)(B) that is enrolled under section 1866(j)”. ###
(b)Home Health Services ####
(1)Part A Section 1814(a)(2) of the Social Security Act (42 U.S.C. 1395(a)(2)) is amended in the matter preceding subparagraph
(A)by inserting “, or, in the case of services described in subparagraph (C), a physician enrolled under section 1866(j),” after “in collaboration with a physician,”. ####
(2)Part B Section 1835(a)(2) of the Social Security Act (42 U.S.C. 1395n(a)(2)) is amended in the matter preceding subparagraph
(A)by inserting “, or, in the case of services described in subparagraph (A), a physician enrolled under section 1866(j),” after “a physician”. ###
(c)Application to Other Items or Services **[**[42 U.S.C. 1395f note](/us/usc/t42/s1395f)**]** The Secretary may extend the requirement applied by the amendments made by subsections
(a)and
(b)to durable medical equipment and home health services (relating to requiring certifications and written orders to be made by enrolled physicians and health professions) to all other categories of items or services under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.), including covered part D drugs as defined in section 1860D–2(e) of such Act (42 U.S.C. 1395w–102), that are ordered, prescribed, or referred by a physician enrolled under section 1866(j) of such Act (42 U.S.C. 1395cc(j)) or an eligible professional under section 1848(k)(3)(B) of such Act (42 U.S.C. 1395w–4(k)(3)(B)). ###
(d)Effective Date **[**[42 U.S.C. 1395f note](/us/usc/t42/s1395f)**]** The amendments made by this section shall apply to written orders and certifications made on or after July 1, 2010.
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U.S. Code
- Special payment rules for particular items and services§ 1395m
- Prohibition against any Federal interference§ 1395
- Procedure for payment of claims of providers of services§ 1395n
- Conditions of and limitations on payment for services§ 1395f
- Agreements with providers of services; enrollment processes§ 1395cc
2 references not yet in our index
- 42 USC 1395w–102
- 42 USC 1395w–4(k)(3)(B)
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Sec. 6405
PHYSICIANS WHO ORDER ITEMS OR SERVICES REQUIRED TO BE MEDICARE ENROLLED PHYSICIANS OR ELIGIBLE PROFESSIONALS
Cite42 USC 1395w–102
Cite42 USC 1395w–4(k)(3)(B)
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