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Posting Date: 05/11/2021
Medicare Provider/Supplier Provider Type Codes
Medicare Provider/Supplier Provider Type Codes Below is the list of Medicare provider/supplier type codes you can use as a reference during the enrollment process and claims processing. Code Description 20 [...]
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Posting Date: 03/13/2017
CMS-855B Completion Tips for Ownership Interest and/or Managing Control Information
CMS-855B Completion Tips for Ownership Interest and/or Managing Control Information Table of Contents Section 5 – Ownership interest and/or managing control information Instructions for Completing Section 5 Section 5A - [...]
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Posting Date: 02/04/2021
Supporting Documentation Required for Enrollment Revalidations
Supporting Documentation Required for Enrollment Revalidations Submit all required documentation based on your revalidation scenario: Written confirmation from the IRS confirming your legal business name and EIN (e.g., IRS CP-575) The [...]
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Posting Date: 08/10/2020
Learn About PECOS Web
Learn About PECOS Web Table of Contents CMS Provider Enrollment Systems Advantages of Online Enrollment Get Started Other Resources Get Access Password Requirements Multi-Factor Authentication Get Help [Return to [...]
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Posting Date: 02/02/2021
Approval or Denial
Approval or Denial Approval Once your application is approved, you will receive an email containing a Medicare letter with PTAN. Review this letter to ensure that everything is accurate and if you have any questions, please contact the [...]
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Posting Date: 02/02/2021
Acknowledgement Email
Acknowledgement Email Upon receipt of your application submission, the contact person (identified on application) will receive an email confirmation from: NGS-PE-Communications@elevancehealth.com containing the NGS case number for tracking [...]
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Posting Date: 02/04/2021
CMS-855I Completion Tips for Physicians and NPPs in Private Practice (Sole Owner or Sole Proprietor) Revalidation Application
CMS-855I Completion Tips for Physicians and NPPs in Private Practice (Sole Owner or Sole Proprietor) Revalidation Application Follow the instructions printed on the CMS-855I application and refer to this list of sections required for [...]
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Posting Date: 02/26/2020
Description of Revalidation
Description of Revalidation Section 6401(a) of the Affordable Care Act requires that all enrolled providers or suppliers revalidate their Medicare enrollment information under new enrollment screening criteria. To maintain Medicare billing [...]
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Posting Date: 03/04/2022
Revalidation Request Mailed
Revalidation Request Mailed We will mail the revalidation notices to identified providers and suppliers currently enrolled in the Medicare Program. The revalidation notice will be sent two to three months prior to due date. Each provider or [...]
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Posting Date: 03/04/2022
How Will You Know it is Time to Revalidate
How Will You Know it is Time to Revalidate We will contact each provider or supplier when it is time to revalidate their enrollment information by sending a revalidation notice with a revalidation due date. We will send the [...]
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Posting Date: 11/29/2021
How to Search on the Medicare Revalidation List Tool for Due Date
How to Search on the Medicare Revalidation List Tool for Due Date Table of Contents How to Search on the Medicare Revalidation List Tool for Due Date Find a Provider By NPI By Name Associated Datasets [Return to Top] How [...]
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Posting Date: 10/20/2021
Cognitive Assessment
Cognitive Assessment Table of Contents Billing Codes Billing Information Documentation Related Content [Return to Top] Billing Codes 99483: 60 minute face-to-face [Return to Top] Billing Information Cognitive assessment [...]
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Posting Date: 11/19/2021
Paper Enrollment Process
Paper Enrollment Process Paper-based enrollment applications are available. Submitting your enrollment via paper is an option, but PECOS is the preferred method to process the application with streamlining features. Determine which CMS-855 [...]
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Posting Date: 04/29/2021
Clinics/Group Practices and Other Suppliers
Clinics/Group Practices and Other Suppliers Download CMS-855B. Complete Sections: 1, 2, 3, 4, 5, 6, 8, 12, 13, 15B and D (if applicable) Attachment 1 for Ambulance Suppliers Attachment 2 for IDTFs Attachment 3 for OTP Notes [...]
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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 7/31/2024
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Posting Date: 08/28/2023
Reviewing the PECOS Enrollment Practice Location Area for OPPS Providers Claim Submission
Reviewing the PECOS Enrollment Practice Location Area for OPPS Providers Claim Submission All off-campus OPPS locations must be identified on the enrollment record. If a hospital OPPS claim is submitted with a practice service location that [...]
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Posting Date: 02/11/2021
Part A Content
Cost Report Contacts: CT, ME, MA, NH, NY, RI, VT: Bobbi Jo Luciano, Manager Office: South Portland, ME Sharon Townsend Office: South Portland, ME JK_Cost_Report_Filing@anthem.com Mailing Address for USPS: National Government Services Attn: [...]
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Posting Date: 02/11/2021
Part A Content
Cost Report Contacts: IL, MN, WI, All FQHC: Bobbi Jo Luciano, Manager Office: South Portland, ME Sharon Townsend Office: South Portland, ME J6_Cost_Report_Filing@anthem.com Mailing Address for USPS: National Government Services Attn: Cost [...]
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Posting Date: 11/01/2021
Transitional Care Management
Transitional Care Management Table of Contents Billing Codes Billing Information Documentation Related Content [Return to Top] Billing Codes 99495: Moderate complexity F2F 7 to 14 days 99496: High complexity F2F 7 days [...]
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