Medicare Application Updates; 855A, 855B, 855I, 855R

• Discuss credentialing & enrollment processes that impact your revenue cycle
• Recognize billing processes, including service entry, claim submission, and revenue cycle management
• Explore Medicare enrollment and the benefits of participating.

Discussion Points:-

• How do I know that a CMS 855I application is needed if I use PECOS for Medicare?
• When is an 855R application required?
• What is the correspondence/mailing address that should be listed on the 855I application?
• Understanding CMS Medicare’s use of the term "provider(s)."
• How to obtain compliant access to your provider’s Medicare applications.
• The designated contact person on every Medicare application should only be:
• Adverse actions must be reported on an 855I application.
• Medicare allows corrections to be responded to within a specified timeframe:
• The process for completing and mailing out Medicare paper applications.
• The CMS-compliant process to connect with healthcare providers, whether individuals or organizations.
• Medicare revalidations are urgent, and the timeline is:
• When you receive a request to correct the address(es) on your application, which section(s) should you check?
• Key requirements for completing the 855R application.
• Consistency in language from MAC representatives when requesting corrections or providing rejection letters.
• When completing the banking information section, the address listed must match the address on the Medicare application.