Line gif
Publications

Line gif
Resources

Line gif
Part A Enrollment
bullet gif Tips to Facilitate the Medicare Enrollment Process
bullet gif CMS Provider Enrollment Web Site
bullet gif Contact Information
bullet gif National Plan and Provider Enumeration System (NPPES) Web Site  
bullet gif National Plan and Provider Enumeration System (NPPES) Web Site  
bullet gif CMS Definitions Applicable to Provider Enrollment
bullet gif Provider-Based Status Definitions
bullet gif Frequently Asked Questions
bullet gif How To Avoid Delays

Line gif
Tools

Part A Provider Enrollment > Status Definitions
Provider Information Home

Part A Status Definitions

 
Provider-Based Status Definitions

Campus - the physical area immediately adjacent to the provider's main buildings, other areas and structures that are not strictly contiguous to the main buildings but are located within 250 yards of the main buildings, and any other areas determined on an individual case basis, by the CMS Regional Office, to be part of the provider's campus.

Department of a provider - a facility or organization or a physician office that is either created by, or acquired by, a main provider for the purpose of furnishing health care services of the same type as those furnished by the main provider under the name, ownership, and financial and administrative control of the main provider, in accordance with the provisions of this section. This may not be licensed to provide health care services in its own right and may not be qualified to participate in Medicare as a provider. Medicare conditions of participation do not apply to a department as an independent entity. This does not include an RHC or, except as specified in these regulations, an FQHC.

Freestanding facility - an entity that furnishes health care services to Medicare beneficiaries and is not integrated with any other entity as a man provider, a department of a provider, remote location of a hospital, satellite facility, or provider-based entity.

Main provider - a provider that either creates, or acquires ownership of another entity to deliver additional health care services under its name, ownership, and financial and administrative control.

Provider-based entity - a provider of health care services or an RHC or FQHC, as specified, that is either created by, or acquired by, a main provider for the purpose of furnishing health care services of a different type from those of the main provider under the name, ownership, and administrative and financial control of the main provider, in accordance with the provisions of this sections.

Provider-based status - the relationship between a main provider and a provider-based entity or a department of a provider, remote location of a hospital, or satellite facility, that complies with the provisions of this section.

Remote location of a hospital - a facility or an organization that is either created by, or acquired by, a hospital that is a main provider for the purpose of furnishing inpatient hospital services under the name, ownership, and financial and administrative control of the main provider, in accordance with the provisions of this section. This may not be licensed to provide inpatient hospital services in its own right, and Medicare conditions of participation do not apply to a remote location of a hospital as an independent entity. This does not include a satellite facility.

Satellite facility - a part of a hospital that provides inpatient services in a building also used by another hospital or in one or more entire buildings located on the same campus as building used by another hospital.

For additional information on Provider Enrollment, please visit the CMS Provider Enrollment web site.


Home | Contact Us | Locate Us | Navigating The Web Site Tutorial | Site Search | Help | Site Map
Beneficiary Home | Provider Home | EDI Home | Privacy Policy
CMS Home Page | Medicare.gov
Rhode Island Medicare Services
http://www.rimedicare.com


CMS Home Page