Catalog Number : cra1813
Title : 855-I,R,O and S
Speaker : Duane Abbey

Webplay Recording Date : 8-21-2012
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

What does CMS really want to know about healthcare providers in order to enroll? What is special about DME and the CMS 855-S enrollment form? Come to our Webinar to answer these and many other questions about the 855 forms.

Target Audience:

• Clinic Managers
• Clinic Administrators
• Hospital Provider-Based Clinic Personnel
• Claim Filing Personnel
• Compliance Personnel
• Financial Personnel
• Accreditation and Licensing Personnel
• Other Personnel Interested in Billing Privileges with the Medicare Program

Webinar Objectives:

• Understand the overall process of obtaining and maintaining billing privileges for Medicare
• Appreciate the use of CMS Forms 855-I, 855-O, 855-R and 855-S
• Review the data elements and information requirements for the CMS-855-I, 855-R and 855-O
• Understand how the CMS 855-I, 855-R and 855-O relate to the other CMS-855 forms
• Appreciate differing requirements for various types of practitioners
• Recognize the need for CMS to gather appropriate information concerning ownership, management and operations for billing purposes
• Recognize the need to develop organizational resources to maintain multiple CMS Form 855 forms
• Understand how the NPIs and other reporting requirements affect the CMS-855-I, 855-O and 855-R
• Appreciate the use of PECOS for Internet-based filing of the CMS-855 forms
• Review the general requirements for gaining billing privileges with CMS as a DME supplier
• Appreciate current and anticipated changes for maintaining billing privileges with Medicare

The following are a few of the topics to be discussed:

• CMS Billing Privileges
  • Overview of 42 CFR §424
  • CMS Concerns Surrounding Billing Privileges
  • Revalidation Program
  • OIG Investigations Concerning Fraudulent Billing
• The CMS Form 855
  • Six Different Forms
  • Use and Relationship of Forms
  • Basic Information Required
• The CMS Form 855-I
  • The Main Data Elements
  • When To File This Form
  • When To Update This Form
• The CMS Form 855-R
  • The Main Data Elements
  • When To File This Form
  • When To Update This Form
• The CMS Form 855-O
  • The Main Data Elements
  • When To File This Form
  • When To Update This Form
• The CMS Form 855-S
  • Becoming a DME Supplier
  • Unusual Requirements
  • Compliance Issues
• VII. Future Requirements for Conditions for Payment
  • Use of PECOS (Provider Enrollment, Chain and Ownership System)
  • Special Compliance Concerns
• Case Studies and Examples

Contact Hours:

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.