DecisionHealth, DecisionHealth - 2011 Issue 6 (June)

Proposed new enrollment form could give ease referring doctor caused denials

You could be seeing less claim denials caused by referrals from providers who aren’t enrolled in Medicare – or interested in enrolling – thanks to a proposed new type of enrollment application, CMS announced May 20 in the Federal Register. The new enrollment form, called the CMS-855O, would enable providers who are not enrolled in Medicare and have no plans to enroll or bill to go through a streamlined enrollment process solely to generate an identification number.

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