Enrolling with the Medicare program involves the various CMS-855 forms. There are now seven different forms that must be used by different providers of healthcare services or products. These forms are long, detailed and sometimes confusing. Not only must they be filed initially for a given provider, they must be maintained and updated as appropriate.
Due to the increasing complexity of healthcare delivery systems, providers, such as integrated delivery systems or large multi-specialty clinics, may have to maintain hundreds of these forms. Also, healthcare providers are required to resubmit their various 855 forms for revalidation in order to ensure complete compliance with the Medicare program. Over time the use and guidance for the enrollment process continues to morph even though there is no change in guidance. This occurs through interpretations and clarifying guidance.
In this session, renowned speaker Duane C. Abbey, Ph.D., will provide guidance on CMS-855 forms and also the new CMS-855-POH form. Find out why is the Medicare Program so sensitive to enrollment, and where to look for the official regulations for Medicare enrollment. The discussion will include the use of PECOS, problems with the Cycle 2 revalidation process, and how you can check to see who needs to be revalidated.
Plus, Dr. Abbey will discuss on-site audits relative to enrollment; what are these opt-out physicians and practitioners; how is Part D coverage involved with these CMS-855 forms; how to keep track of all these CMS-855 forms; and the compliance risks relative to Medicare enrollment.
Who should attend
Claim Filing Personnel, Coding and Billing Personnel, Compliance Personnel, Financial Personnel, Accreditation and Licensing Personnel, Physicians, Non-Physician Practitioners. DME Suppliers, Clinics, Cost Report Personnel, and Other Personnel Interested in Billing Privileges with the Medicare Program
Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.
Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & Abbey, Consultants, Inc., which specializes in healthcare consulting and related areas. Duane earned his graduate degrees at the University of Notre Dame and Iowa State University and has more than 20 years of experience as a consultant. He performs various types of financial analysis involving business structuring, organizational development, enrolment and other financially related concerns of organizations....
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