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Posting Date: 06/03/2021
PECOS Correct and Resubmit Application Instructions
PECOS Correct and Resubmit Application Instructions Login to PECOS and select the following: My Associates View Enrollment for applicable enrollment under Existing Associates Correct and Resubmit for [...]
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Posting Date: 05/04/2021
Provider Enrollment Application Process Timeline
Provider Enrollment Application Process Timeline All MACs, including National Governments Services, have a goal to finalize an Internet-based PECOS application within 15 days and a CMS-855 paper application within 30 days, if all required [...]
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Posting Date: 12/03/2020
Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment
Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment Reminder, if a hospital, clinic/group or Independent Diagnostic Treatment Facility has ADI screening equipment, certification from a designated ADI accrediting [...]
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Posting Date: 07/27/2020
PECOS Application Status Tool
PECOS Application Status Tool The status of your application is indicated by the step that is highlighted. If an application fee is required, an additional step will be added and the system will generate 5 steps. Your application was [...]
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Posting Date: 01/08/2019
Information for Physicians Who Refuse to Enroll, Opt-Out of the Medicare Program, or Submit Claims to Medicare
Information for Physicians Who Refuse to Enroll, Opt-Out of the Medicare Program, or Submit Claims to Medicare We have received inquiries asking whether physicians may refuse to enroll in Medicare and refuse to submit claims to Medicare when [...]
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Posting Date: 03/15/2024
Revalidation Application Checklist
Revalidation Application Checklist Use the Revalidation Application Checklist to assist when revalidating your enrollment information. The general checklist will allow you to understand requirements while the PECOS and CMS-855 paper checklist [...]
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Posting Date: 04/26/2019
Issues with Medicare Beneficiary Submitted Claims - We Need Your Help
Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help Table of Contents Issues with Medicare Beneficiary Submitted Claims ‒ We Need Your Help Summary of Beneficiary Submitted Claims Related Content NGS Provider [...]
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Posting Date: 08/08/2023
Introducing PECOS 2.0
Introducing PECOS 2.0 PECOS 2.0 will make the Medicare enrollment and revalidation processes faster and more efficient. For more information, visit Introducing PECOS 2.0. Revised 7/29/2024
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Posting Date: 03/08/2021
Understanding Authorized Official and Delegated Official Roles
Understanding Authorized Official and Delegated Official Roles Table of Contents Understanding Authorized Official and Delegated Official Roles Medicare Enrollment Records CMS Identity and Access Management System [Return to Top] [...]
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Posting Date: 11/15/2021
Change of Tax ID Instructions and Forms
Change of Tax ID Instructions and Forms Table of Contents Certified Providers and Certain Other Suppliers Clinics/Group Practices Sole Owner/Sole Proprietor Effective Dates When Changing a Tax ID For Clinics/Group Practices [Return [...]
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Posting Date: 08/27/2021
Ordering and Referring Points of Interest
Ordering and Referring Points of Interest Per MLN SE18008, MACs will process CMS Form-855O provider enrollment applications submitted for unlicensed residents if the application submission includes either: A residency contract signed and [...]
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Posting Date: 07/13/2022
MSP Payment and Savings Calculator Bottom
How to Determine the Medicare Secondary Payment Amounts First, the MSP payment is determined by the following: Actual charge by physician/supplier or OTAF minus amount paid by primary Usual Medicare payment determination Fee [...]
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Posting Date: 09/26/2023
Adding or Terminating a Reassignment to an Established Group
Adding or Terminating a Reassignment to an Established Group Table of Contents Adding Reassignment Terminating Reassignment (By Individual) Terminating Reassignment (By Organization) Terminating Physician Assistant Employment Arrangement [...]
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Posting Date: 03/12/2019
CMS-855I Completion Tips for Managing Employee Information in Section 6
CMS-855I Completion Tips for Managing Employee Information in Section 6 Table of Contents Section 6: Managing Employee Information Instructions for Completing Section 6 Section 6A ‒ Managing Employee Identifying Information Section [...]
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Posting Date: 04/16/2019
CMS-855I Completion Tips for Physicians and NPPs that Reassign All Benefits Revalidation Application
CMS-855I Completion Tips for Physicians and NPPs that Reassign All Benefits Revalidation Application Follow the instructions printed on the CMS-855I application and refer to this list of sections required for revalidation. Sections [...]
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Posting Date: 07/30/2019
CMS-855O Completion Tips for Physicians or Eligible Professionals for the Sole Purpose of Ordering, Certifying or Prescribing Part D Drugs
CMS-855O Completion Tips for Physicians or Eligible Professionals for the Sole Purpose of Ordering, Certifying or Prescribing Part D Drugs CMS-855O is a national enrollment; providers who relocate to another state are not required to disenroll [...]
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Posting Date: 02/18/2021
CMS-855B Completion Tips for Clinics/Group Practices and Other Suppliers Revalidation Application
CMS-855B Completion Tips for Clinics/Group Practices and Other Suppliers Revalidation Application Follow the instructions printed on the CMS-855B application and refer to this list of sections required for revalidation. Section [...]
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Posting Date: 07/29/2024
Resolving PECOS Common Errors and Warnings
Table of Contents Error/Warning PECOS Reference Guide and Help Desk Information [Return to Top] Error/Warning Error indicated, correct all topic errors Warning indicated, verify information for accuracy PECOS Topic [...]
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Posting Date: 11/14/2019
Understanding Participating, Nonparticipating and Opt Out Status
Understanding Participating, Nonparticipating and Opt Out Status Principles Participating Status Nonparticipating Status Opt Out Status Explanation When a physician/practitioner enrolls as a new provider in [...]
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Posting Date: 08/23/2018
Medicare Provider/Supplier Specialty Codes
Medicare Provider/Supplier Specialty Codes Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process. Code Description 01 General practice 02 [...]
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