by nCred | Healthcare Industry News, Medicare Provider Enrollment |
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...
by nCred | Medicaid Provider Enrollment, Medicare Provider Enrollment
CMS has announced the CY 2016 application fee for institutional providers enrolling with Medicare, Medicaid, or Children’s Health Insurance Program. The fee will be $554 and is up slightly from the CY 2015 fee of $553. This fee is required for all...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
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...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare enrollment involves selecting the correct enrollment forms from CMS and completing the forms with 100% accuracy. Here are the forms that you will need: CMS855I; this is the individual provider enrollment application. This form captures all the details of an...
by nCred | Medicare Provider Enrollment |
Completing the Medicare Provider Enrollment Process This article will outline some of the key steps in the Medicare enrollment process for a single physician, John James MD, starting a new practice. This enrollment example assumes the physician has formed a legal...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
CMS announced guidance on inter-jurisdictional reassignments affecting providers in one MAC jurisdiction that re-assigns benefits to an organization located in another MAC jurisdiction. The full program guidelines can be found here. Here is the text of the article:...
by nCred | Medicare Provider Enrollment |
Providers and suppliers enrolled in the Medicare program are required to submit a physical practice location address on the initial provider enrollment application, and are required to report any changes of address to Medicare within 30 days. Recently the GAO examined...
by nCred | Medicare Provider Enrollment |
Changes to the Medicare Opt-Out Law for Physicians and Practitioners Prior to enactment of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), physician/practitioner opt-out affidavits were only effective for 2 years. As a result of changes made by...
by nCred | Medicare Provider Enrollment |
Enrolling a Physician Assistant with Medicare is a little different than with other eligible healthcare providers. PA’s don’t actually enroll directly with Medicare, but file an employment arrangement with a physician or medical organization. The...
by nCred | Credentialing Issues, Medicaid Provider Enrollment, Medicare Provider Enrollment, Provider Enrollment |
Health plan credentialing (Enrollment) for Nurse Practitioners can bring about some unique challenges. Providers who are operating an outpatient clinic as a primary care provider will need to be directly credentialed and contracted with health plans. Know the...
