New Medicare enrollment: Which forms do I need to complete?
New to Medicare? Enrollment forms must be completed by all providers of services and suppliers of medical and other health...
What is the purpose of the Medicare Participating Physician or Supplier Agreement (CMS-460)?
New physicians, practitioners, and suppliers may submit the CMS-460 form at the time of their enrollment, or within 90 calendar days from the date of their approval letter. Participants agree to accept assignment for all covered services provided to Medicare patients.
Does a physician or non-physician practitioner who has chosen to opt-out of the Medicare program still need to enroll to order/certify items or services for Medicare beneficiaries?
A provider that has opted out of the Medicare program will not complete a separate application to order or certify items/services for beneficiaries to other Medicare providers; instead, they should indicate they wish to order/certify as part of the opt out process.
CMS-855 enrollment application processing timeframes
Did you know CMS has defined timeframes for processing CMS-855 forms? Read on to learn more.
What are the requirements for a provider to be eligible to order or certify items or services for a Medicare beneficiary? How can I confirm eligibility as an ordering or referring provider?
A provider is eligible to order or certify items or services for a Medicare beneficiary only if he or she meets both of the following criteria:
Who should sign the certification statement of the CMS-855 provider enrollment application?
The following shows the information for the various applications:
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CMS-855A and CMS-855B
Mass immunization roster billers
Read this article if you are a roster biller for mass immunizations or interested in becoming one.
What is the provider’s legal business name that should appear on CMS-855 Medicare enrollment applications?
A provider’s legal business name is the name that is registered with the IRS and should appear on IRS documents, such as the CP-575, that contains a provider’s EIN or TIN.
Clinical nurse specialist (CNS)
View the requirements of becoming a clinical nurse specialist with Medicare.