by nCred | Healthcare Industry News, Medicare Provider Enrollment |
On November 4, 2013, CMS issued a notice of revision to reflect the current revalidation process. Revalidation applies to all providers and suppliers who enrolled with Medicare prior to March 25, 2011. Affected providers and suppliers must revalidate their...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
DMEPOS Contract Suppliers Announced CMS has announced the contract suppliers for the Round 1 Recompete of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. A list of Round 1 Recompete contract supplier...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
The House Ways and Means and Senate Finance Committees have released a draft legislative proposal to eliminate the Medicare Sustainable Growth Rate (SGR) formula. The proposal would permanently repeal the SGR update mechanism, reform the fee-for-service (FFS) payment...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
CMS rolls out surrogate user program The Centers for Medicare & Medicaid Services (CMS) recently released information about its surrogate user program, which is now available for use. The program authorizes individuals or organizations to work on behalf of...
by nCred | Medicare Provider Enrollment |
Medicare’s chiropractic coverage is strictly limited to manipulation of the spine to correct a subluxation. No other chiropractic services or products will be paid by Medicare. Chiropractors may enroll as DMEPOS suppliers, but unlike medical doctors they are not...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Medicare enrolling/enrolled providers have two contractual options with Medicare. 1) Providers may submit an enrollment application and sign a participating (PAR) agreement and accept Medicare’s allowed charge as payment in full for all Medicare patients. 2)...
by nCred | Healthcare Industry News, Medicare Provider Enrollment |
Enrollment regulations allow Medicare contractors to deny an enrollment application for a supplier, physician, or non-physician practitioner if there is an outstanding overpayment that has not been fully repaid at the time of filing the new application. The denial is...
by nCred | Credentialing Issues, Healthcare Industry News, Medicare Provider Enrollment, Provider Enrollment |
We receive many inquiries from Chiropractic practices that are partnering with physicians and mid-level providers to convert their chiropractic practice to a multi-specialty medical clinic providing primary care services, walk-in medical care, chiropractic care, and...
by nCred | Credentialing Issues, Medicare Provider Enrollment, Provider Enrollment |
Accurate and timely provider enrollment has a dramatic impact on cash flow of any practice. The ultimate goal of any business office, credentialing office, or other responsible staff is to have providers enrolled with health plans as quickly as possible and to...
by nCred | Medicare Provider Enrollment, Provider Enrollment |
Certain healthcare providers are exempt from the DMEPOS Accreditation and Surety bond requirements of participating with medicare as a DMEPOS supplier. These exemptions apply to professional services provider who supply DMEPOS products to their patients, and only to...
