Seven New CMS-855 Forms to Enroll

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

Medicare is spawning its own entrepreneurship
Private Firms Explaining Medicare Forms

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.


* * * * *

Feedback . . .
Subscribe MedicalTuesday . . .
Subscribe HealthPlanUSA . . .

Complying with Government handouts is getting more complicated and expensive.

Government is not the solution to our problems, government is the problem.

– Ronald Reagan

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.