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Last Modified: 4/3/2015 Location: FL, PR, USVI Business: Part B

Delegating authority to sign CMS-855B applications

Q: May an authorized official delegate their authority to sign CMS-855B applications?
A. An authorized official of an organization may delegate authority to make changes to enrollment information and to add physicians/practitioners. The organization must complete the section 16 of the CMS-855B and an authorized official must sign the certification statement. The delegated official must be an individual with an "ownership or control interest" in or be a W-2 managing employee of the supplier. The delegated official must be reported in Section 6.
An individual physician or practitioner cannot delegate authority and must sign the certification statement of the CMS-855I.
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Source: Medicare Program Integrity Manual, Chapter 10, Section 4.16

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