An important step for healthcare providers that allows healthcare professionals to be reimbursed for services rendered to Medicare beneficiaries.
As a healthcare provider, it is essential to enroll with Medicare in order to serve Medicare beneficiaries and receive reimbursement for the services you provide. In this article, we will delve into the importance of getting properly enrolled in Medicare as a provider and how it can benefit both healthcare providers and their patients.
Medicare provider enrollment services refer to the process of enrolling as a physician or mid-level provider within the Medicare program. This involves completing an application and processing it to the Centers for Medicare and Medicaid Services (CMS) for review. The CMS is a federal agency that administers the Medicare program and is responsible for reviewing, approving, and the revalidation of provider enrollment applications.
There are several reasons why it is essential to process a Medicare Application with CMS as a healthcare provider and to do so correctly:
To enroll with Medicare as a provider, you will need to complete an application and submit it to the CMS for review. The application process can be complex, and it is important to carefully review all of the requirements and instructions before submitting your application. Here are some key steps to follow when enrolling with Medicare:
There are several types of healthcare providers who are required to enroll in Medicare in order to serve Medicare beneficiaries and receive reimbursement for the services they provide. These providers include:
It is important to note that these are just a few examples of the types of providers that are required to enroll in Medicare. There are many other types of providers that may also be required to enroll, depending on the services they provide and their participation in the Medicare program. Once you’re ready to enroll you’ll need to obtain a PECOS login. According to CMS PECOS is: PECOS is the online Medicare enrollment management system which allows you to: Enroll as a Medicare provider or supplier. Revalidate (renew) your enrollment. Withdraw from the Medicare program. Review and update your information.
It is important to accurately determine your provider type when enrolling in Medicare, as this will determine which application you need to complete and which requirements you need to meet in order to participate in the program.
The Centers for Medicare and Medicaid Services (CMS) has a dedicated contact center for providers who wish to enroll with Medicare. The contact center can provide assistance with the enrollment process and answer questions about the requirements for participation in the Medicare program.
Currently, the provider enrollment hotline is available from 8:00 a.m. to 8:00 p.m. local time, Monday through Friday.
In addition to the provider enrollment hotline, the CMS also has an online portal called the Provider Enrollment, Chain, and Ownership System (PECOS) that providers can use to apply for Medicare enrollment and manage their enrollment information. You can access PECOS at the following website: https://pecos.cms.hhs.gov.
It is also important to note that the CMS also currently has regional offices that handle provider enrollment for specific states or regions. You can find contact information for your local CMS regional office on the CMS website at: https://www.cms.gov/About-CMS/Agency-Information/RegionalOffices.
If you’re looking for a faster way of obtaining your Medicare number and filing an application to take Medicare as an insurance within your practice, reach out to the team at Contracting Providers for a free consultation. Once your application is completed, it is possible for retroactive billing to occur, but this cannot happen until Medicare has received your enrollment record.