CMS 855 Forms and PECOS: CMS 855I and 855R New Updates

Course Description:

CMS has discontinued the CMS-855R (Reassignment of Medicare Benefits) form and updated its CMS-855I provider enrollment form. CMS in its latest update merged the CMS 855R into the 855I paper enrollment application, it means you can not use the 855R again if you want your providers to be able to get reimbursed from Medicare.

Medicare payor enrollment can be time-consuming and frustrating. Some of the 855 forms were recently updated. Failure to use the updated forms can cause outright rejection of the application and lead to significant delays in getting your providers enrolled. CMS 855 paper forms can be confusing for first-time or even regular users! This webinar will cover the CMS 855 forms, discuss which forms to use for your specific needs, and go into detail about the changes to the forms. It will also provide an overview of Medicare’s Provider Enrollment, Chain and Ownership System (PECOS), discuss how to become a PECOS user, determine your user type, and list the advantages of using PECOS versus paper applications. We will discuss tips for processing Medicare applications and common reasons for delays in processing applications.

Learning Objectives:

Understand the difference between medicare 855 paper applications and PECOS
Learn steps to complete medicare 855 paper applications
Review PECOS history and overview
Discuss the advantages of using PECOS vs paper applications
Describe the steps for using PECOS to enroll in medicare
Explain the different user types in PECOS
Describe common reasons for delays in processing medicare applications
Learn application processing tips

Areas Covered in the Session:

Medicare 855 application types and uses
- CMS-855-A – Hospitals
- CMS-855-B – Clinics
- CMS-855-I – Individuals
- CMS-855-O – Ordering/Referring
- CMS-855-R – Reassignment
- CMS-855-S – DMEPOS
Paper vs electronic medicare enrollment
PECOS history & overview
Steps for using PECOS to enroll in medicare
What type of user are you?
Medicare application completion in PECOS
Application processing & tips
Most common reasons for delays
Live Q&A session

Suggested Attendees:

Hospital CEOs, CFOs and COOs
Provider Enrollment Specialists
Provider Enrollment Managers & Directors
Revenue Cycle Managers
Credentialing Specialists
CVO Staff and Administration
Practice Managers
Authorized officials
Delegated officials
Revenue cycle directors
Credentialing
Enrollment
Office Manager
Revenue Cycle
Operations
Billing Team
In and Out of Network Providers
Medical Billing Companies
Providers’ Office Staff
Physician
Hospitals and Facilities
Insurance Companies
Healthcare Attorneys
Executive and Administrators
Front Desk
Scheduling
Authorizations Staff
Medical Assistants
Certified nursing assistants
Practice Administrators
CVO Managers and Directors

About the Presenter:

Tammy West is Director Professional Services for The Hardenbergh Group. She brings over 25 years of experience in healthcare administration and 16 years in Medical Staff Services. Tammy specializes in CVO operations, provider credentialing, provider enrollment, quality analysis, quality improvement, quality auditing, delegation audits, and policy and procedure creation and implementation. She has extensive experience with CMS, TJC and NCQA requirements for provider credentialing and medical staff services.

Prior to joining The Hardenbergh Group, Tammy was a consultant and independent contractor for hospitals, health systems, CVOs, locum companies and private practices across the United States. She has vast experience as an MSP, including credentialing specialist, provider enrollment specialist, medical staff coordinator, Medical Staff Manager, and CVO Director.

Tammy was a CVO Manager where she was responsible for creating and implementing policies and procedures for a new corporate CVO. During her tenure, the CVO achieved NCQA accreditation and delegated credentialing status with commercial payors. Additionally, Tammy worked as a quality auditor for an NCQA certified managed care company and an Adjunct Instructor teaching medical office systems classes.

Tammy has a BS in Human Services Management and a master’s in healthcare administration with a minor in Education. She is a member of the North Carolina Association Medical Staff Services and the National Association Medical Staff Services.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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