tci Medicare Compliance & Reimbursement - 2006 Issue 45

ENROLLMENT: Why Carriers Are Holding Tens Of Thousands Of Applications In Backlog

Revalidate your enrollment information now, to avoid hold-ups later.A new clog in the Medicare physician enrollment process is holding up applications in Florida and Texas, but also in other areas, says consultant Leslie Witkin with Physicians First Physician Consulting in Orlando, FL.Problems started in February 2006, when the Centers for Medicare & Medicaid Services (CMS) sent carriers a memo saying that they should send back any applications that were missing information, instead of contacting the provider as in the past. Also, carriers would accept new enrollment applications only 15 days before the physician's start date, not 60...

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