Seven New CMS-855 Forms to Enroll

by admin on 04/26/2017 7:44 AM

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In order to enroll in the Medicare program, different providers of healthcare services or products, must now use seven different CMS-855 forms. These forms are long, detailed and sometimes confusing. Not only must they be filed initially for a given provider, they must be maintained and updated as appropriate. Due to the increasing complexity of healthcare delivery, integrated delivery systems or large multi-specialty clinics may have to maintain hundreds of these forms. The Medicare program also uses a revalidation process that periodically requires all healthcare providers to resubmit their various 855 forms in order to assure compliance. 

In this On-Demand Webinar —”Understanding CMS-855 Forms Including the New CMS-855-POH for Hospitals and Clinics” on Tuesday, September 12, expert speaker Duane C. Abbey, Ph.D. will give an overview of CMS-855 forms and how they relate to each other. Duane will discuss the role of opt-out physicians/practitioners and the way CMS-855-O fits into this process. He will also review the Medicare program’s revalidation process; address changing organizational structures; and discuss future requirements for Conditions for Payments.

You’ll get 1.5 AAPC CEU per registration.

Session Highlights:

• Medicare enrollment using the various CMS-855 forms
• The CMS Conditions for Payments (CfPs)
• Medicare concerns surrounding billing and payment for services and supplies
• Organizational structuring changes such as with provider-based clinics
• Purpose and use of the 6 different CMS-855 forms along with the new CMS-855-POH
• The concept of opt-out physicians and practitioners
• How opt-out physicians can and/or should enroll in the Medicare program
• How Part D coverage is impacted by the enrollment process
• The revalidation process and associated challenges
• Know how other required reporting, such as the NPIs and provider-based reporting connect with the Medicare enrollment
• The need to develop organizational resources to maintain multiple CMS-855 forms
• The proper use of the Internet-based PECOS process
• Current and anticipated changes for maintaining billing privileges with Medicare
• The need to establish contact with knowledgeable personnel at the MAC and/or RO

Session Agenda:

• Introduction
  • Conditions for Payment — 42 CFR §424
  • Claims filing process
  • Reassignment of payments
  • OIG investigations concerning fraudulent billing
  • Revalidation and billing credentialing
  • Opt-out physicians and practitioners
• Review of the CMS-855 forms
  • CMS-855-A
  • CMS-855-B
  • CMS-855-I
  • CMS-855-O
  • CMS-855-R
  • CMS-855-S
• How the CMS-855 forms relate to each other
  • New CMS-855-POH — Annual report physícian ownership
  • National Provider Identifiers (NPIs)
  • Tax Identification Numbers (TINs)
• Opt-out physicians/practitioners
  • What is the process
  • Why would a physícian/practítioner opt-out?
  • How do opt-out physicians affect hospitals/clinics?
  • How does the CMS-855-O fit into this process?
• Revalidation process
  • Revalidations cycles
  • Process 1
  • Process 2
  • Determining status and notification
  • Time frames for completion
  • Risk levels
  • On-site visits
• Addressing changing organizational structuring
  • Impact of organizational structuring on enrollment
  • Integrated delivery systems
  • Multi-specialty groups
  • Provider-based clinics/operations
  • Maintaining NPIs and TINs
  • Other related reporting requirements
• Utilizing PECOS versus manual submission
• Future requirements for conditions for payment
• Case studies
• And more!
  Broadcast: $227.00  Broadcast + DVD: $327.00
  Broadcast + Transcript: $327.00  DVD: $227.00  Transcript: $227.00  DVD + Transcript: $327.00  Broadcast + DVD + Transcript: $427.00  Instant Download: $227.00  Instant Download + Transcript: $327.00  Instant Download + DVD: $327.00

Please use “SAVE20” at check-out and get $20 off registration.

CLICK HERE TO REGISTER

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