Catalog Number : cra1623
Title : Medicare Enrollment, PECOS & The CMS-855
Speaker : Duane Abbey

Webplay Recording Date :
Webplay Price : $ 200 for two weeks viewing

Webinar Level: Intermediate

Target Audience:

• Claim Filing Personnel
• Compliance Personnel
• Financial Personnel
• Accreditation and Licensing Personnel
• Physicians
• Non-Physician Practitioners
• DME Suppliers
• Cost Report Personnel
• Other Personnel Interested in Billing Privileges with the Medicare Program

Webinar Objectives:

• Review the Medicare enrollment process through the use of the various CMS-855 forms
• Discuss the Medicare concerns surrounding billing and payment for services and supplies
• Review the purpose and use of the six different CMS-855 forms
• Determine how other required reporting, such as the NPIs and Provider-Based reporting, connect with Medicare enrollment
• Define the proper use of the Internet-based PECOS process
• Discuss current and anticipated changes for maintaining billing privileges with Medicare

A few of the Topics that will be covered:

• Conditions for Payment (CfPs)
  • Definitions – Provider vs. Supplier
  • Claims Filing Process
  • Reassignment of Payments
  • Billing Directives
  • OIG Investigations Concerning Fraudulent Billing
  • Revalidation and Billing Credentialing
  • Opt-Out Physicians and Practitioners
• CMS-855 Forms
  • CMS-855-A
  • CMS-855-B
  • CMS-855-I
  • CMS-855-O
  • CMS855-R
  • CMS-855-S
  • How the CMS-855 Forms Relate to Each Other
• Basic Information Requirements and Concerns
  • Who are you?
  • Where you are located?
  • Who owns you?
  • Who manages (controls) you?
  • Special Considerations
  • How Many 855s Does Your Organization Have?
• Revalidation Process
  • 5-Year Cycle
  • Notification
  • Time Frames for Completion
  • Risk Levels
  • On-Site Visits
• Addressing Organizational Support
  • NPIs
  • Provider-Based Status
  • CMS-855 Forms
  • PECOS
  • Keeping Information Up-to-Date
  • Anticipating CMS Revalidation
  • Other Related Reporting Requirements
• PECOS – Provider Enrollment, Chain and Ownership System
  • What is it?
  • How is it used?
  • Who can use it?
• Case Studies
• Future Requirements for Conditions for Payment

Attendance Certificate:

Upon attending this course you will receive a 1.5 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.