Catalog Number : cra1348
Title : Medicare Reporting: CMS-855, NPIs & Provider-Based Rule
Speaker : Duane Abbey

Webplay Recording Date : 11-16-06
Webplay Price : $ 225 for two weeks viewing

Teleconference/Webinar Presenter: Duane C. Abbey, Ph.D., CFP

Teleconference Webinar Title: Medicare Reporting: CMS-855, NPIs & Provider-Based Rule

Teleconference/Webinar Level: Basic

Related Teleconference/Webinar Presentations: No specific Webinars/Teleconferences are related. In general, various coding, billing and compliance presentation dovetail with this specialized workshop.

Teleconference/Webinar Objectives:

• To understand the CMS provider enrollment process
• To understand why CMS now requires all changes to “pay to” information for an existing provider to be approved via the 855 process through each contractor’s provider enrollment unit
• To review why changes of information to an existing provider’s enrollment are supposed to be processed within 45 days
• To review why CMS now requires all contractors to obtain a fully completed Form 855 from a provider
• To understand the process if a provider has never completed the Form 855
• To understand the process if a provider or supplier already has Form 855 on file

Teleconference/Webinar Outline/Agenda:

• Old CMS form 855
• New CMS form 855
• A new NPI to file or update the new 855
• How to determine how 855 forms you have to file, what does each form stand for?
• HIPAA - National Provider Identifiers
• Enrollment Form for Hospitals or Those Filing Claims with a Fiscal Intermediary
• Five Different Forms
  • Form 855-A
  • Form 855-B
  • Form 855-I
  • Form 855-R
  • Form 855-S
• Integral Part of the Conditions for Payment (CfPs)
• Fundamental Questions
  • Who fills out this form?
  • Must this form be updated?
  • When?
  • How?
  • Can this form be filed electronically?
  • Are the other forms of interest to hospitals?
• Practice Location Information

Prerequisites for Participating: General knowledge of healthcare coding, billing and reimbursement.

Target Audience: Outpatient Service Area Personnel, Coding Personnel, Billing and Claims Transaction Personnel, Chargemaster Coordinators, Financial Analysts, Compliance Personnel, Utilization Review Personnel, Physicians and Other Interested Personnel

Attendance Certificate: Upon attending this course you will receive a 2 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.