Seven New CMS-855 Forms to Enrollby admin on 04/26/2017 7:44 AM
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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.
- 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
- 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
- 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.
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