2015 Updates for Medicare Provider Enrollment
Two updates will affect Medicare provider enrollment for 2015. READ MORE
Keeping Your Provider Information Up-to-Date
Have you recently added a new practice location, changed your name, switched your account to a different bank, or incorporated your practice? Congratulations! But make sure you take the final step of notifying payers so that payments won’t be disrupted, revalidations won’t be sent to the wrong address, or your billing privileges won’t be revoked. READ MORE
7 Tips for Successful Provider Enrollment
While no one may like the loads of paperwork required to enroll physicians and other healthcare providers with government and commercial payers, making sure that the required forms are submitted correctly and in a timely manner is essential for getting reimbursed for services provided. READ MORE
NPPES and PECOS: Inaccuracies and Inconsistences the OIG Found
A recent study conducted by the Office of Inspector General revealed that about half of all records in the National Plan and Provider Enumeration System and the Provider Enrollment, Chain and Ownership System are inaccurate, and 97 percent of the records were inconsistent between the two data repositories. READ MORE
Medicare Revalidation: What To Do with That Yellow Envelope
That yellow envelope you just received from your Medicare Administrative Contractor (MAC) could mean the difference between uninterrupted payments for your practice or missed revenue and cash flow problems. READ MORE
Completing and Submitting Form W-9 for Third Party Payments
Completing and submitting Internal Revenue Service Form W-9 to third party payers is an important part of timely reimbursement in the revenue cycle of medical providers. The W-9 gives insurance companies and other payers the correct Tax Identification Number for providers to report income to the IRS. READ MORE
NPI and PTAN: What’s the Difference?
While federal law (HIPAA) mandates that all providers have a single unique NPI number to be used in all administrative and financial transactions by providers and health plans, Medicare providers also need a PTAN. Why both? READ MORE
Medicare Revalidation Process Affects Most Providers
Medicare revalidation, a provision of the Affordable Care Act, affects all providers and suppliers who were enrolled with Medicare prior to March 25, 2011. According to the provision, all of these providers and suppliers must revalidate their enrollment using Medicare’s new screening criteria by March 23, 2015. READ MORE
