Question: Our young practice wants to take on Medicare patients. Our two physicians have National Provider Identifiers (NPI). Can we start seeing beneficiaries? Florida Subscriber Answer: No. An NPI is just the starting point toward Medicare provider enrollment; it is not a [...]
Ensure you have these critical documentation items upfront. There’s no denying that the application process for Medicare provider enrollment can be challenging. There are a lot of t’s to cross and i’s to dot. However, registering as a provider in [...]
Don’t anticipate the updated CMS-855 application until 2022 — or later. If sending Medicare the detailed history of your affiliations with other providers and suppliers on the enrollment form gives you pause, there’s some good news. Medicare doesn’t plan to [...]
Don’t expect the CMS-855 application update any time soon. If you were worried about disclosing your provider and supplier affiliations on your Medicare enrollment forms, you’ve got a little time before that requirement goes live. But, be warned — Medicare [...]
Failing to vet a vendor could cost you big. With so much on your plate, conducting HIPAA risk analysis may seem like a place to cut costs. But heed the cautionary tale of one provider that dropped the ball on [...]
Manage risks, or fines will ensue, OCR case suggests. If you’re weighing the costs of a risk analysis in 2019, you may want to follow through and fork over the cash for a comprehensive assessment. One organization dropped the ball [...]
You saw how three ophthalmologists would fare under the proposed E/M payment changes —now check out what the impact would be to three optometrists whose data we sampled. Using the current E/M payment levels and comparing them to the proposed [...]
One HHH Medicare Administrative Contractor is trying to clear up confusion for home health agencies and hospices that submit their claims to one MAC, but submit their cost reports or enrollment forms to another. "If the home health or hospice [...]
Medicare considering relief in moratoria procedures. With skyrocketing hospice statistics on regulators’ minds, a proposed provision in this spring’s enrollment proposed rule may be more important to hospices than they think. Medicare plans to correct a punishing provision in its [...]
Lack of targeting and unreasonable lookback period head the list. A new proposed rule toughening up enrollment and reenrollment procedures could cut a swath through the ranks of law-abiding providers, unless CMS makes some big changes to the regulation. So [...]
