The process of 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 these enrollment application submissions wrong can have systemic consequences on an organization, including cash flow delays, credentialing issues, coding issues, claims backlogs, denial management issues, patient satisfaction, and even impact quality scores.

In 2024, Medicare opened the enrollment gates for new mental health providers (MFTs and MHCs) that had previously been excluded from providing services to Medicare beneficiaries. 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, linkage issues with PTAN numbers, most common errors, and best practice tips for completing the 2024 CMS 855 forms.

Learning Objectives:-

• Understand the CMS 855 enrollment submission process for 2024
• Recall CMS 855A, 855B, 855I Application requirements for 2024
• Recall the most complicated sections on the 855 applications for 2024
• Recall strategies to complete 855 forms accurately for 2024
• Recall ancillary documentation required with 855 enrollment submissions for 2024
• Avoid common rejections and errors with 855 form submissions
• Recall best practice tips for 855 form submissions for 2024

Areas Covered:-

• Dissect the various Medicare enrollment types in 2024
• Outline a sample workflow for completing Medicare enrollment
• Review the 2024 CMS Form 855A application together
• Review the 2024 CMS Form 855B application together
• Review the 2024 CMS Form 855I application together
• Discuss the discontinuation of the 855R form
• Discuss the most challenging 855 form sections for 2024
• Discuss strategies to complete the 855 forms accurately for 2024
• Review the process of reassigning benefits to organizations for 2024
• Review the ancillary documentation required with 855 enrollment submission for 2024
• Discuss the most common rejections and errors with 855 form submissions for 2024

Background:-

All healthcare providers and suppliers are required to complete Medicare enrollment prior to rendering and billing for 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 enrollment applications are tedious, time-consuming, and confusing. Without the proper guidance, a provider can miss important details like application type, NPI type, PECOS requirements, PTAN linkage, taxonomy designations, surrogacy designations, and PAR vs. NON-PAR status.

Who Will Benefit:-

• Professional Fee Medical Coding Specialists
• Professional Fee Medical Billing Specialists
• Professional Fee Medical Auditing Specialists
• Non-Physician Providers (NPPs) – NP, PA
• Physicians of all specialties
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• American Academy of Professional Coders
• American Health Information Management Association
• Medical Group Management Association
• Health Care Compliance Association
• Medical Associations
• Behavioral Health Providers – MHCs and MFTs