You don't have to look far to see the use cases of AI in healthcare – diagnostics, robotic surgery,...

As we get further into the new year, many practitioners are addressing aspects of their practice management that they feel could use expanded upon.
For many providers, this means making sure they’ve crossed all the t’s and dotted all the i’s when it comes to Medicare Provider Enrollment.
Since there are so many highly specific requirements for Medicare Enrollment, today we’ll be breaking it down to help you understand what steps you need to take to complete the task!
In order to be eligible for Medicare payment, there are forms that must be submitted that will enroll physicians to be available to receive the documentation necessary for eligibility.
Those forms are:
In order to apply for enrollment or provide updates to their current application, providers have two options:
For additional information regarding the Medicare enrollment process, including Internet-based PECOS, go to http://www.cms.hhs.gov/MedicareProviderSupEnroll
In order to report changes, providers must submit a new application to reinitiate the approval process. Providers must report changes in ownership or control, changes in practice location, or final adverse action within 30 days of the change.
Any other changes that need to be made must be reported within 90 days of the reported event.
Participation in reference to Medicare Enrollment means continued agreement to always accept assignment of claims for services provided to Medicare beneficiaries.
Additionally, agreeing to accept assignment of claims means that you are also agreeing to always accept Medicare-allowed payments in full and to not collect more from the beneficiary.
Unlike with private insurance, through the Social Security Act, you are required to submit claims for Medicare whether you participate or not.
If you do decide to participate in the Medicare program, you must also submit a participation agreement - the Medicare Participating Physician or Supplier Agreement (Form CMS-460).
Typically, this form would be submitted concurrently with the enrollment form, but can be submitted within 90 days. Benefits will not begin until the form is submitted.
Benefits of Medicare Enrollment include:
For more information on the Medicare Enrollment process, visit http://www.cms.hhs.gov/MedicareProviderSupEnroll to access the internet-based forms or to download the paper versions.
7 Use Cases of Healthcare AI to Improve Office Workflow Management
You don't have to look far to see the use cases of AI in healthcare – diagnostics, robotic surgery,...
Here’s the bottom line: you’re wasting time and money doing your own credentialing. Find out how to...
The Electronic Medical Record (EMR) system is designed to provide comprehensive, up-to-date...
Social media has become an integrated part of today's world, and it is no surprise that it plays an...
What’s in a name? It turns out that names are very powerful, especially when you’re selecting a...
The Physician Self-Referral Law, commonly referred to as the Stark Law, is a federal law passed in...
Healthcare professionals regularly find themselves struggling to find the best ways to help...
Much like any business, running a medical practice is a lot of work. To reasonably handle...
In previous blog posts, we’ve spent some time talking about the steps that go into starting your...
If you’re looking to start a medical practice in Texas, you may be wondering “How the heck do I do...
Leave a Comment