Very interesting DD update I found regarding Medic
Post# of 85564
(Total Views: 494)
Posted On: 06/10/2020 11:57:54 AM
Very interesting DD update I found regarding Medicare Status....
Remember I found out through a simple phone call to Novitas that we submitted 3 forms to Medicare:
-FORM CMS-855B( Medicare Enrollment Application for Clinics, Group Practices, and Certain Other Suppliers)
-FORM EFT(Electronic Funds Transfer)
-FORM CMS-20134 (Medicare Enrollment Application for Medicare Diabetes Prevention Program (MDPP) Suppliers)
Top Reasons for Development – Paper Applications (CMS-855A, CMS-855B, and CMS-855I)
Section 1 – Basic Information / NPI(MIKEY STATED THIS)
Missing, incorrect, or incomplete NPI and Medicare identification number, if previously issued.
Section 2 – Identifying Information
Missing, incorrect, or incomplete license, certification, or accreditation information.
Missing, incorrect, or incomplete date of incorporation (CMS-855A and CMS-855B).
Section 3 – Adverse Legal Actions
No indication on whether adverse legal actions have ever been imposed.
Missing or incomplete documentation on resolution of adverse legal action.
Missing or conflicting information on adverse legal actions.
Note: If you are uncertain as to whether an action falls into one of the adverse legal action categories (conviction, exclusion, revocation, or suspension), or whether a name on this application has an adverse legal action, you can query the Healthcare Integrity and Protection Data Bank at www.npdb-hipdb.hrsa.gov/ or you can call 1-800-767-6732.
Section 4 – Practice Location Information
Missing, incorrect, or incomplete location information.
Missing date you saw your first Medicare patient
Required EFT Authorization Agreement (CMS-588) form not on file or submitted with enrollment application.
Section 15 – Certification Statement
All signatures must be handwritten. Stamped signatures are not acceptable.
_________________________________________________________
Top Reasons for Development - PECOS Web Applications (CMS-855A, CMS-855B, and CMS-855I)
Section 2 – Identifying Information
Missing, incorrect, or incomplete license, certification, or accreditation information.
Missing, incorrect, or incomplete date of incorporation (CMS-855A and CMS-855B).
Section 4 – Practice Location Information
Missing, incorrect, or incomplete location information.
Missing date you saw your first Medicare patient
Required EFT Authorization Agreement (CMS-588) form not on file or submitted with enrollment application.
Remember I found out through a simple phone call to Novitas that we submitted 3 forms to Medicare:
-FORM CMS-855B( Medicare Enrollment Application for Clinics, Group Practices, and Certain Other Suppliers)
-FORM EFT(Electronic Funds Transfer)
-FORM CMS-20134 (Medicare Enrollment Application for Medicare Diabetes Prevention Program (MDPP) Suppliers)
Top Reasons for Development – Paper Applications (CMS-855A, CMS-855B, and CMS-855I)
Section 1 – Basic Information / NPI(MIKEY STATED THIS)
Missing, incorrect, or incomplete NPI and Medicare identification number, if previously issued.
Section 2 – Identifying Information
Missing, incorrect, or incomplete license, certification, or accreditation information.
Missing, incorrect, or incomplete date of incorporation (CMS-855A and CMS-855B).
Section 3 – Adverse Legal Actions
No indication on whether adverse legal actions have ever been imposed.
Missing or incomplete documentation on resolution of adverse legal action.
Missing or conflicting information on adverse legal actions.
Note: If you are uncertain as to whether an action falls into one of the adverse legal action categories (conviction, exclusion, revocation, or suspension), or whether a name on this application has an adverse legal action, you can query the Healthcare Integrity and Protection Data Bank at www.npdb-hipdb.hrsa.gov/ or you can call 1-800-767-6732.
Section 4 – Practice Location Information
Missing, incorrect, or incomplete location information.
Missing date you saw your first Medicare patient
Required EFT Authorization Agreement (CMS-588) form not on file or submitted with enrollment application.
Section 15 – Certification Statement
All signatures must be handwritten. Stamped signatures are not acceptable.
_________________________________________________________
Top Reasons for Development - PECOS Web Applications (CMS-855A, CMS-855B, and CMS-855I)
Section 2 – Identifying Information
Missing, incorrect, or incomplete license, certification, or accreditation information.
Missing, incorrect, or incomplete date of incorporation (CMS-855A and CMS-855B).
Section 4 – Practice Location Information
Missing, incorrect, or incomplete location information.
Missing date you saw your first Medicare patient
Required EFT Authorization Agreement (CMS-588) form not on file or submitted with enrollment application.
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