Avoiding Rejected Applications – Correct Form Version?
For providers and suppliers that utilize the Medicare enrollment application forms, in lieu of Internet PECOS, it is important to confirm the current version of each form prior to its […]
Reassignment Guidance — Assists Newly Enrolling Groups
Rather than incorporating its reassignment policy guidance into Chapter 15 of the Medicare Program Integrity Manual, which contains other Medicare enrollment policies, CMS placed this guidance into a new Chapter […]
Hospital Payment Delays for Unreported Practice Locations
The revalidation process and increased sanctions for non-compliance with the requirements to update Medicare enrollment has not succeeded in ensuring all providers understand the importance of having accurate Medicare enrollment […]
Understanding Medicare Corrective Action Plans
For Medicare enrollees denied enrollment or current providers or suppliers that had billing privileges revoked, CMS established the option to file a Corrective Action Plan (CAP). Filing a CAP provides the opportunity to “correct” the deficiencies that resulted in the denial or revocation.
Don’t Hesitate — Revalidate
Revalidation efforts are underway again, but this time for all providers and suppliers. When CMS revised the Medicare enrollment rules in June 2006, one change was to require each provider […]
Application Fees
To help offset the costs of the screening required under the program safeguard rules for Medicare-enrolled providers and suppliers, an application fee was implemented. With the annual update factor, the […]
Ordering and Referring Practitioner Enrollment Form
CMS recently developed a new enrollment form — the CMS 855O form — which would allow a physician or non-physician practitioner (NPP) who otherwise does not need to have Medicare […]
Webinar Focusing on Medicare and Medicaid Enrollment Requirements
On April 27th I presented a webinar on the recently released Medicare and Medicaid enrollment rules.
New Medicare and Medicaid Enrollment Rules Take Effect Today
Significant changes effecting Medicare- and Medicaid-enrolled providers and suppliers take effect today, March 25, 2011. The new regulations are in response to provisions in the recent health care reform legislation […]
60-Day Comment Period for New Medicare and Medicaid Enrollment Rules Ends November 16, 2010
Do not lose this opportunity to submit comments to the proposed changes in the Medicare and Medicaid enrollment rules, whether submitted individually or in conjunction with professional or trade associations. Enrollment […]