Return-Path: <149c.161457a@vmail8.newsletters.email> Received: from vps.transocean.com by vps.transocean.com with LMTP id wDwMM3PSN1pefQAAInt2oQ ; Mon, 18 Dec 2017 06:36:35 -0800 Return-path: <149c.161457a@vmail8.newsletters.email> Envelope-to: JOHN@TRANSOCEAN.COM Delivery-date: Mon, 18 Dec 2017 06:36:35 -0800 Received: from vmail8.newsletters.email ([67.23.183.251]:59243) by vps.transocean.com with esmtp (Exim 4.89) (envelope-from <149c.161457a@vmail8.newsletters.email>) id 1eQwWl-0008Qh-9r for JOHN@TRANSOCEAN.COM; Mon, 18 Dec 2017 06:36:35 -0800 DKIM-Signature: v=1; a=rsa-sha1; c=simple/simple; d=newsletters.email; s=dknewsletter; t=1513607763; bh=1DkDFFBUSguiMHY2FNWcZxImZPc=; h=Date:From:Reply-To:To:Subject:List-Unsubscribe; b=jajztokF6k5z15/8iTOcHkXX7D2ZdZ70VF9FGTEU+HGrlcIoSCQjbkPv+n2PjzrY3 8BPpH2mwSNeiF+rkK8CIF6IM5nWfNIF6L/yYs8Oo+9SUmYHh49+z+XikkeBpDaoaXi Deb5kvkG7HzBuBuBLCA5a2Aix5LiopH6eICiVH14= Date: Mon, 18 Dec 2017 09:36:03 -0500 From: "CMS-855 Forms" Reply-To: "CMS-855 Forms" To: Subject: Complying with the updated Medicare enrollment process Message-ID: <149c.161457a.3d34757@vmail8.newsletters.email> X-MNB-TRACKING: c21pc2hyYSA6IEpPSE5AVFJBTlNPQ0VBTi5DT00gOiA1YTM3YzlmZjljOGZiNDcwZDI1NWY0Mzc= X-MNB-SENDID: 5a37c9ff9c8fb470d255f437 List-Unsubscribe: Feedback-ID: 2251630:2253566:newsletter:massmail Content-Type: multipart/alternative; boundary="=_5a37d2533D347572250c207F59C0068020161457a149C" MIME-Version: 1.0 X-Spam-Status: No, score=-1.6 X-Spam-Score: -15 X-Spam-Bar: - X-Ham-Report: Spam detection software, running on the system "vps.transocean.com", has NOT identified this incoming email as spam. The original message has been attached to this so you can view it or label similar future email. If you have any questions, see root\@localhost for details. Content preview: Medicare Enrollment Update for 2018 Presented By: Duane C. Abbey Live Audio Conference Date: Tuesday, January 23, 2018 | Duration: 90 minutes Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT REGISTER NOW Learn about CMS-855 Forms Changes and Changes in Interpretations of the Forms Enrolling with the Medicare program involves the various CMS-855 forms. The Medicare program uses a revalidation process to periodically require all healthcare providers to resubmit their various 855 forms in order to assure that compliance is being maintained. Over time, the use and guidance for the enrollment process continues to morph even though there is no change in guidance. This occurs through interpretations and clarifying guidance. 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Abbey Live Audio Conference=20 Date: Tuesday, January 23, 2018 | Duration: 90 minutes Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT REGISTER NOW Learn about CMS-855 Forms Changes and Changes in Interpretations of the For= ms Enrolling with the Medicare program involves the various CMS-855 forms. The= Medicare program uses a revalidation process to periodically require all h= ealthcare providers to resubmit their various 855 forms in order to assure = that compliance is being maintained. Over time, the use and guidance for th= e enrollment process continues to morph even though there is no change in g= uidance. This occurs through interpretations and clarifying guidance. There are now seven different forms that must be used by different provider= s of healthcare services or products. These forms are long, detailed and so= metimes confusing. Not only must they be filed initially for a given provid= er, they must be maintained and updated as appropriate. Due to the increasi= ng complexity of healthcare delivery systems, providers, such as integrated= delivery systems or large multi-specialty clinics, may have to maintain hu= ndreds of these forms. In this session, healthcare consultant Duane C. Abbe= y, will review the Medicare enrollment process through the use of the vario= us CMS-855 forms. Read more Session Objectives This session will answer some questions, such as: What are CMS-855 forms? What is the newer CMS-855-POH form? How is enrollment affected by the revalidation process? Why is the Medicare program so sensitive to enrollment? Where can you find the official regulations for Medicare enrollment? Do you have to use PECOS? Are there any problems with the Cycl=C3=A8 2 revalidation process? How can you check to see who needs to be revalidated? Are there really on-site audits relative to enrollment? What are these opt-out physic=C3=ACans and pract=C3=ACtioners? How is Part D coverage involved with these CMS-855 forms? How are you supposed to keep a track of all the CMS-855 forms? What are the compliance risks relative to Medicare enrollment? Session Highlights This session will discuss: Medicare enrollment process through the use of the various CMS-855 forms Changes to the CMS-855 forms and/or the changes in interpretations of the f= orms The revalidation process for the various CMS-855 forms The CMS conditions for payment (CoPs) The Medicare concerns surrounding billing and payment for services and supp= lies Organizational structuring changes such as with provider-based clinics The purpose and use of the six different CMS-855 forms along with the new C= MS-855-POH The concept of opt-out physic=C3=ACans and pract=C3=ACtioners How opt-out physic=C3=ACans can and/or should enroll in the Medicare program How Part D coverage is impacted by the enrollment process The fuss about ordering/referring physic=C3=ACans The revalidation process and associated challenges How other required reporting, such as the NPIs and provider-based reporting= connect with the Medicare enrollment The need to develop organizational resources to maintain multiple CMS-855 f= orms The proper use of the Internet-based PECOS process Current and anticipated changes for maintaining billing privileges with Med= icare Several case studies The need to establish contact with knowledgeable personnel at the MAC and/o= r RO Session Agenda Introduction Conditions for payment: 42 CFR =C2=A7424 Definitions: Provider vs. supplier Claims filing process Reassignment of payments OIG investigations concerning fraudulent billing Revalidation and billing credentialing Opt-out physic=C3=ACans and pract=C3=ACtioners Review of the CMS-855 forms CMS-855-A CMS-855-B CMS-855-I CMS-855-O CMS855-R CMS-855-S How the CMS-855 forms relate to each other Newer CMS-855-POH: Annual report physic=C3=ACan ownership National provider identifiers (NPIs) Tax identification numbers (TINs) Opt-out physic=C3=ACans/pract=C3=ACtioners What is the process Why would a physic=C3=ACan/pract=C3=ACtioner opt-out? How do opt-out physic=C3=ACans affect hospitals/clinics? How does the CMS-855-O fit into this process? Revalidation Process Revalidations cycl=C3=A8s Cycl=C3=A8 1 process Cycl=C3=A8 2 process Determining status and notification Time frames for completion Risk levels On-site visits Addressing changing organizational structuring Impact of organizational structuring on enrollment Integrated delivery systems Multi-specialty groups Provider-based clinics/operations Maintaining NPIs and TINs Other related reporting requirements Utilizing PECOS versus manual submission Case studies Future requirements for conditions for payment And more Celebrate Christmas Early!=20 Apply "XMAS50" at check-out and get $50 off on your registration. (Offer valid upto December 25, 2017) CLICK HERE TO REGISTER =20 Get answers to your questions in the Q&A directly from the speaker For Spec=C3=ACal Offers, Deals & Discounts: =E2=9C=86 Call now at 1-866-458-2965 or email at customerservice@audioeduca= tor.com (Reference cod=C3=A8: EHOSMW04_MS) To join our mailing list and receive invitations to similar webinars, click= here. About Our Speaker Duane C. Abbey, Ph.D. is a management consultant and president of Abbey & A= bbey, Consultants, Inc., which specializes in healthcare consulting and rel= ated areas. Read more We hope you found this message to be useful. If you don=E2=80=99t wish to receive any further communication, please clic= k the unsubscribe link below. Your request will be processed within 10 days= .=20 This message has been sent by Audio Educator. Audio Educator - 2222 Sedwick Dr - Durham - NC - 27713 Subscribe to this newsletter: https://www.newsletters.email/tools/subscription.php?username=3Dsmishra&sen= d_id=3D5a37c9ff9c8fb470d255f437&l=3Ds&newsletter_id=3D1413270608 Unsubscribe JOHN@TRANSOCEAN.COM: https://www.newsletters.email/tools/subscription.php?username=3Dsmishra&sen= d_id=3D5a37c9ff9c8fb470d255f437&l=3Du&email=3DJOHN@TRANSOCEAN.COM Change your preferences: https://www.newsletters.email/tools/subscription.php?username=3Dsmishra&sen= d_id=3D5a37c9ff9c8fb470d255f437&l=3Dp&email=3DJOHN@TRANSOCEAN.COM Forward to a friend: https://www.newsletters.email/tools/forward.php?username=3Dsmishra&newslett= er_id=3D1413270608&send_id=3D5a37c9ff9c8fb470d255f437 Report this email as spam: https://www.newsletters.email/tools/abuse_report.php?username=3Dsmishra&sen= d_id=3D5a37c9ff9c8fb470d255f437&email=3DJOHN@TRANSOCEAN.COM This email was sent using MyNewsletterBuilder.com. --=_5a37d2533D347572250c207F59C0068020161457a149C Content-Type: text/html; charset=UTF-8 Content-Transfer-Encoding: quoted-printable Content-Disposition: inline
Medicare Enrollment Update for 2= 018
Presented = By: Duane C. Abbey
Live Audio Conference =
Date: Tuesday, January 23, 2018 | = Duration: 90 minutes
Time: 1 pm ET | 12 pm = CT | 11 am MT | 10 am PT
<= font face=3D"Verdana" size=3D"4" color=3D"#ffffff">REGISTER NOW
Learn about CMS-855 Forms Changes and Changes in Interpretati= ons of the Forms
Enrolling with the Medicare program involves the v= arious CMS-855 forms. The Medicare program uses a revalidation process to p= eriodically require all healthcare providers to resubmit their various 855 = forms in order to assure that compliance is being maintained. Over time, th= e use and guidance for the enrollment process continues to morph even thoug= h there is no change in guidance. This occurs through interpretations and c= larifying guidance.

There are now seven different forms that mu= st be used by different providers of healthcare services or products. These= forms are long, detailed and sometimes confusing. Not only must they be fi= led initially for a given provider, they must be maintained and updated as = appropriate. Due to the increasing complexity of healthcare delivery system= s, providers, such as integrated delivery systems or large multi-specialty = clinics, may have to maintain hundreds of these forms. In this session, hea= lthcare consultant Duane C. Abbey, will review the Medicar= e enrollment process through the use of the various CMS-855 forms. <= a href=3D"http://report.newsletters.email/t.js?s=3D5a37c9ff9c8fb470d255f437= &u=3D39374324&v=3D3&key=3Dca06&skey=3De4a3853c0c&url=3D= https%3A%2F%2Fwww.audioeducator.com%2Fhospitals-and-health-systems%2Fmedica= re-enrollment-process-cms-855-form-update.html%3Futm_medium%3DEmail%26utm_s= ource%3DAbbey_121817_MS%26utm_campaign%3DEHOSMW04_MS"style=3D"color: #0c304= a; text-decoration: none;" >Read more
Session Objectives
This session will answer some questions, such as:
  • What are CMS-855 fo= rms?
  • What is th= e newer CMS-855-POH form?
  • How is enrollment a= ffected by the revalidation process?
  • Why is the Medicare= program so sensitive to enrollment?
  • Where can you find = the official regulations for Medicare enrollment?
  • Do you have to use = PECOS?
  • Are there any probl= ems with the Cyclè 2 revalidation process?
  • How can you check t= o see who needs to be revalidated?
  • Are there really on= -site audits relative to enrollment?
  • What are these opt-= out physicìans and practìtioners?
  • How is Part D cover= age involved with these CMS-855 forms?
  • How are you suppose= d to keep a track of all the CMS-855 forms?
  • What are the compli= ance risks relative to Medicare enrollment?
Session Highlights
This session will discuss:
  • Medicare enrollment= process through the use of the various CMS-855 forms
  • Changes to the CMS-= 855 forms and/or the changes in interpretations of the forms
  • The revalidation pr= ocess for the various CMS-855 forms
  • The CMS conditions = for payment (CoPs)
  • The Medicare concer= ns surrounding billing and payment for services and supplies
  • Organizational stru= cturing changes such as with provider-based clinics
  • The purpose and use= of the six different CMS-855 forms along with the new CMS-855-POH
  • The concept of opt-= out physicìans and practìtioners
  • How opt-out physic&= igrave;ans can and/or should enroll in the Medicare program
  • How Part D coverage= is impacted by the enrollment process
  • The fuss about orde= ring/referring physicìans
  • The revalidation pr= ocess and associated challenges
  • How other required = reporting, such as the NPIs and provider-based reporting connect with the M= edicare enrollment
  • The need to develop= organizational resources to maintain multiple CMS-855 forms
  • The proper use of t= he Internet-based PECOS process
  • Current and anticip= ated changes for maintaining billing privileges with Medicare
  • Several case studie= s
  • The need to establi= sh contact with knowledgeable personnel at the MAC and/or RO
Session Agenda
  • Introduction
    • Conditions for paym= ent: 42 CFR §424
    • Definitions: Provid= er vs. supplier
    • Claims filing proce= ss
    • Reassignment of pay= ments
    • OIG investigations = concerning fraudulent billing
    • Revalidation and bi= lling credentialing
    • Opt-out physic&igra= ve;ans and practìtioners
  • Review of the CMS-8= 55 forms
    • CMS-855-A
    • CMS-855-B
    • CMS-855-I
    • CMS-855-O
    • CMS855-R
    • CMS-855-S
    • How the CMS-855 for= ms relate to each other
    • Newer CMS-855-POH: = Annual report physicìan ownership
    • National provider i= dentifiers (NPIs)
    • Tax identification = numbers (TINs)
  • Opt-out physic&igra= ve;ans/practìtioners
    • What is the process=
    • Why would a physic&= igrave;an/practìtioner opt-out?
    • How do opt-out phys= icìans affect hospitals/clinics?
    • How does the CMS-85= 5-O fit into this process?
  • Revalidation Proces= s
    • Revalidations cycl&= egrave;s
    • Cyclè 1 proc= ess
    • Cyclè 2 proc= ess
    • Determining status = and notification
    • Time frames for com= pletion
    • Risk levels<= /li>
    • On-site visits
  • Addressing changing= organizational structuring
    • Impact of organizat= ional structuring on enrollment
    • Integrated delivery= systems
    • Multi-specialty gro= ups
    • Provider-based clin= ics/operations
    • Maintaining NPIs an= d TINs
    • Other related repor= ting requirements
  • Utilizing PECOS ver= sus manual submission
  • Case studies=
  • Future requirements= for conditions for payment
  • And more
Celebrate Christmas Early!=
Apply "XMAS50" at check-out = and get $50 off on your registration.
(Offer valid upto December 25, 2017)
  CLICK HERE TO REGISTER  
Get answers to your questions in the Q&= ;A directly from the speaker
For Specìal Offer= s, Deals & Discounts:
=E2=9C=86 Call now at 1-86= 6-458-2965 or email at customerser= vice@audioeducator.com (Reference codè: EHOSMW04_MS)
<= font face=3D"Verdana" size=3D"2" color=3D"#ffffff">To join our mailing list= and receive invitations to similar webinars, click here.
About Our Speaker
Duane C. Abbey, Ph.D. is a management consultant and= president of Abbey & Abbey, Consultants, Inc., which specializes in he= althcare consulting and related areas. Read mo= re
 
W= e hope you found this message to be useful.
If you don’t wish to= receive any further communication, please click the unsubscribe link below= . Your request will be processed within 10 days.
This message has bee= n sent by Audio Educator.
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