Medi-Cal provider enrollment going electronic
Medi-Cal’s Doctor Sign-Up System Finally Going Online Medi-Cal’s enrollment system for doctors and other health care providers, long criticized in the medical community for being complicated and slow, is getting an overdue transformation. Paper is out, computers are...
CMS Revalidation – Cycle 2
The CMS Revalidation Project The Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. The Centers for Medicare & Medicaid Services (CMS) has...
What telemedicine parity laws mean for physicians
Telemedicine parity laws If you’re a physician looking into telehealth, you’ve probably had to learn a new vocabulary — from originating patient site to telepresenter. At the top of these must-know telemedicine-related terms is the telehealth parity law. Knowing...
5 Steps To Easy Physician Credentialing
Physician credentialing is necessary to receive in-network reimbursement from insurance plans. Procrastination and haphazard processing can spell cash-flow disasters for your new provider. Fortunately, there are ways to minimize issues with credentialing. Here are...
CMS final rule for DMEPOS prior authorization
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule that would establish a prior authorization process for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary...
PECOS redesign is planned
CMS recently published a “Sources Sought Notice” to screen potential technical vendors for a complete redesign of the Medicare online provider enrollment system PECOS. The ultimate project goal of CMS is a ground up redesign of the current system. A new...
Maintain Your Credentialing File
What is needed for a complete credentialing file? Throughout your career as a healthcare provider you will need easy access to history of your education, training, certifications, licenses, and details about your professional performance since completing your medical...
Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs
If you write prescriptions for covered Part D drugs and you are not already enrolled in Medicare in an approved status or have a valid record of opting out, you should submit an enrollment application or an opt-out affidavit to your Medicare Administrative Contractor...2015 CMS Application Fee
CMS announced a $553.00 calendar year (CY) 2015 application fee for institutional providers that are initially enrolling in the Medicare or Medicaid program or the Children’s Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP...
