Description:

All healthcare providers and suppliers must complete the Medicare 855 enrollment form before rendering and billing services. The cost of getting enrollment applications wrong or missing a deadline can have systemic consequences on an organization, including credentialing issues, coding issues, denial issues, patient satisfaction, and even impact quality scores.

In today’s webinar, we discuss the submission options, which providers are eligible for Medicare enrollment, each form type, how to navigate the form sections, key terminology, what ancillary documentation is needed with enrollment submission, applicable fees, most common errors, and best practice tips for completing the CMS 855 forms.

Best Practice Tips to consider:

• Attention to detail is imperative, and staying organized.
• Have someone else review the forms several times over.
• Include all supporting documentation required.
• Vet your vendors if outsourcing/proper training if insourcing.
• The information must be accurate and consistent.
• Typed Answers and Live Signatures.
• Respond timely to information requests.
• Don’t miss revalidation deadlines.

Areas Covered:

• Discuss 2023 CMS-855 Form Updates.
• Outline supporting documentation required with the enrollment submission process.
• Discuss common challenges and strategies to complete form submissions accurately.
• Best Practice Tips for 855 form submissions.
• Compliance Considerations.
• Recall CMS 855A, 855B, 855I and 855R Application requirements.
• Dissect the various Medicare enrollment types.
• Outline a sample workflow for completing Medicare enrollment.
• The review process of reassigning benefits to organizations.
• Review the ancillary documentation required with 855 enrollment submissions.
• Discuss the most common rejections and errors with 855 form submissions.

Why Should You Attend:

Medicare as a provider/organization can be incredibly tedious and time-consuming. The webinar will provide proper guidance to gather all provider contact information and credentialing documentation, Login/Register for NPPES – National Plan and Provider Enumeration System, Provider/Practice NPI – National Provider Identifier Number, PECOS – Provider Enrollment, Chain, and Ownership System OR CMS 855 Forms, surrogacy designations, and PAR vs. NON-PAR status.

Who Should Attend:

• Credentialing Specialists
• Enrollment Specialists
• Contracting Specialists
• Operations Leadership
• Practice Administrators
• Office Managers

Presenter Information:

Name: Toni Elhoms

Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.