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Navigating 2023 Medicare 855 Enrollment Form Updates

Presented by Toni Elhoms
Duration - 90 Minutes

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Description

Enrolling with Medicare as a provider/organization can be incredibly tedious and time-consuming. Even though Medicare is the largest insurer in the country, the number of new Medicare enrollment applications continues to decline due to the enormous complexities surrounding enrollment application requirements. The cost of getting 2023 Medicare 855 Enrollment form submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, denial management 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.

Speaker

Speaker Image

Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management... Read more

Learning Objectives

  • Understand the CMS 855 enrollment submission process
  • Recall CMS 855A, 855B, 855I and 855R Application requirements
  • Recall the most complicated sections on the 855 applications
  • Recall strategies to complete 855 forms accurately
  • Recall ancillary documentation required with 855 enrollment submission
  • Avoid common rejections and errors with 855 form submissions
  • Recall best practice tips for 855 form submissions

Areas Covered

  • Dissect the various Medicare enrollment types.
  • Outline a sample workflow for completing Medicare enrollment
  • Review the CMS Form 855A application together
  • Review CMS Form 855B application together
  • Review the CMS Form 855I application together
  • Review the CMS Form 855R application together
  • Discuss the most challenging 855 form sections
  • Discuss strategies to complete the 855 forms accurately
  • The review process of reassigning benefits to organizations
  • Review the ancillary documentation required with 855 enrollment submission
  • Discuss the most common rejections and errors with 855 form submissions

Background

All healthcare providers and suppliers must complete 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.

Why Should You Attend

Medicare 855 enrollment forms are tedious, time-consuming, and confusing. With the proper guidance, a provider can gain essential details like application type, NPI type, PECOS requirements, taxonomy designations, surrogacy designations, and PAR vs. NON-PAR status.

Who Should Attend

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