Return-Path: Received: from vps.transocean.com by vps.transocean.com with LMTP id MKkhABNnQlrXDwAAInt2oQ ; Tue, 26 Dec 2017 07:13:23 -0800 Return-path: Envelope-to: JOHN@TRANSOCEAN.COM Delivery-date: Tue, 26 Dec 2017 07:13:23 -0800 Received: from mail120.sasmail1.com ([199.68.176.120]:41394) by vps.transocean.com with esmtps (TLSv1:ECDHE-RSA-AES256-SHA:256) (Exim 4.89_1) (envelope-from ) id 1eTquk-00013o-3h for JOHN@TRANSOCEAN.COM; Tue, 26 Dec 2017 07:13:22 -0800 DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; s=key; d=audioeducatorconf.com; h=From:To:Reply-To:Date:Subject:MIME-Version:Content-Type:List-Unsubscribe:Message-ID; i=marketing@audioeducatorconf.com; bh=um4a7twq09jJNgK02FfiV/rqoTcpQ93fO07XNVYNqOY=; b=XJBGOEpv77PAxuE3J//PJXSJP3pzF/q+bRiC4IWS0n8ftt19b9d+i4tMGIPSt1P35N1MeKtd9Cuu plYDmRZt3NrPLF6GAI9PVbIiq0fgEhX5VA138QoomwicTCTtIIVFFNcXRePdcyEpvymLePdPQd0t ReBV6KTZvxvniI7pPUA= Received: by mail138.sasmail1.com id h89jfi1hso82 for ; Tue, 26 Dec 2017 09:42:07 -0500 (envelope-from ) From: "Medicare Enrollment Compliance" To: "JOHN@TRANSOCEAN.COM" Reply-To: marketing@audioeducatorconf.com Date: Tue, 26 Dec 2017 09:36:24 -0500 Subject: Medicare enrollment update for 2018 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="_=aspNetEmail=_c2c29a6efcc549459733be92bfdc77c7" X-Mailer: aspNetEmail ver 3.5.2.0 x-sbe: SBE_941e8cc4-666a-424d-b6ec-802a667d7a1f List-Unsubscribe: mailto:marketing@audioeducatorconf.com List-Unsubscribe-Post: List-Unsubscribe=One-Click Message-ID: X-Spam-Status: No, score=-1.0 X-Spam-Score: -9 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: Celebrate New Year with AudioEducator! Apply code "HNY20" at check-out & get 20% OFF (Valid till 2nd January, 2018) 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. [...] Content analysis details: (-1.0 points, 3.0 required) pts rule name description ---- ---------------------- -------------------------------------------------- 0.5 KAM_NUMSUBJECT Subject ends in numbers 0.0 URIBL_BLOCKED ADMINISTRATOR NOTICE: The query to URIBL was blocked. See http://wiki.apache.org/spamassassin/DnsBlocklists#dnsbl-block for more information. [URIs: saveastamp.ca] 0.2 HEADER_FROM_DIFFERENT_DOMAINS From and EnvelopeFrom 2nd level mail domains are different -0.0 SPF_PASS SPF: sender matches SPF record 0.0 HTML_MESSAGE BODY: HTML included in message 0.0 HTML_FONT_LOW_CONTRAST BODY: HTML font color similar or identical to background -1.9 BAYES_00 BODY: Bayes spam probability is 0 to 1% [score: 0.0047] 0.1 DKIM_SIGNED Message has a DKIM or DK signature, not necessarily valid 0.0 T_DKIM_INVALID DKIM-Signature header exists but is not valid X-Spam-Flag: NO --_=aspNetEmail=_c2c29a6efcc549459733be92bfdc77c7 Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Celebrate New Year with AudioEducator=21=0D=0AApply code =22HNY20=22 at c= heck-out =26 get 20=25 OFF=0D=0A(Valid till 2nd January, 2018)=0D=0AMedic= are Enrollment Update for 2018=0D=0APresented By: Duane C=2E Abbey=0D=0AL= ive Audio Conference =0D=0ADate: Tuesday, January 23, 2018 =7C Duration: = 90 minutes=0D=0ATime: 1 pm ET =7C 12 pm CT =7C 11 am MT =7C 10 am PT=0D=0A= REGISTER NOW=0D=0ALearn about CMS-855 Forms Changes and Changes in Interp= retations of the Forms=0D=0AEnrolling with the Medicare program involves = the various CMS-855 forms=2E The Medicare program uses a revalidation pro= cess to periodically require all healthcare providers to resubmit their v= arious 855 forms in order to assure that compliance is being maintained=2E= Over time, the use and guidance for the enrollment process continues to = morph even though there is no change in guidance=2E This occurs through i= nterpretations and clarifying guidance=2E=0D=0A=0D=0AThere are now seven = different forms that must be used by different providers of healthcare se= rvices or products=2E These forms are long, detailed and sometimes confus= ing=2E Not only must they be filed initially for a given provider, they m= ust be maintained and updated as appropriate=2E Due to the increasing com= plexity of healthcare delivery systems, providers, such as integrated del= ivery systems or large multi-specialty clinics, may have to maintain hund= reds of these forms=2E In this session, healthcare consultant Duane C=2E = Abbey, will review the Medicare enrollment process through the use of the= various CMS-855 forms=2E Read more=0D=0ASession Objectives=0D=0AThis ses= sion will answer some questions, such as:=0D=0AWhat are CMS-855 forms?=0D= =0AWhat is the newer CMS-855-POH form?=0D=0AHow is enrollment affected by= the revalidation process?=0D=0AWhy is the Medicare program so sensitive = to enrollment?=0D=0AWhere can you find the official regulations for Medic= are enrollment?=0D=0ADo you have to use PECOS?=0D=0AAre there any problem= s with the Cycl=C3=A8 2 revalidation process?=0D=0AHow can you check to s= ee who needs to be revalidated?=0D=0AAre there really on-site audits rela= tive to enrollment?=0D=0AWhat are these opt-out physic=C3=ACans and pract= =C3=ACtioners?=0D=0AHow is Part D coverage involved with these CMS-855 fo= rms?=0D=0AHow are you supposed to keep a track of all the CMS-855 forms?=0D= =0AWhat are the compliance risks relative to Medicare enrollment?=0D=0ASe= ssion Highlights=0D=0AThis session will discuss:=0D=0AMedicare enrollment= process through the use of the various CMS-855 forms=0D=0AChanges to the= CMS-855 forms and/or the changes in interpretations of the forms=0D=0ATh= e revalidation process for the various CMS-855 forms=0D=0AThe CMS conditi= ons for payment (CoPs)=0D=0AThe Medicare concerns surrounding billing and= payment for services and supplies=0D=0AOrganizational structuring change= s such as with provider-based clinics=0D=0AThe purpose and use of the six= different CMS-855 forms along with the new CMS-855-POH=0D=0AThe concept = of opt-out physic=C3=ACans and pract=C3=ACtioners=0D=0AHow opt-out physic= =C3=ACans can and/or should enroll in the Medicare program=0D=0AHow Part = D coverage is impacted by the enrollment process=0D=0AThe fuss about orde= ring/referring physic=C3=ACans=0D=0AThe revalidation process and associat= ed challenges=0D=0AHow other required reporting, such as the NPIs and pro= vider-based reporting connect with the Medicare enrollment=0D=0AThe need = to develop organizational resources to maintain multiple CMS-855 forms=0D= =0AThe proper use of the Internet-based PECOS process=0D=0ACurrent and an= ticipated changes for maintaining billing privileges with Medicare=0D=0AS= everal case studies=0D=0AThe need to establish contact with knowledgeable= personnel at the MAC and/or RO=0D=0ASession Agenda=0D=0AIntroduction=0D=0A= Conditions for payment: 42 CFR =C2=A7424=0D=0ADefinitions: Provider vs=2E= supplier=0D=0AClaims filing process=0D=0AReassignment of payments=0D=0AO= IG investigations concerning fraudulent billing=0D=0ARevalidation and bil= ling credentialing=0D=0AOpt-out physic=C3=ACans and pract=C3=ACtioners=0D= =0AReview of the CMS-855 forms=0D=0ACMS-855-A=0D=0ACMS-855-B=0D=0ACMS-855= -I=0D=0ACMS-855-O=0D=0ACMS855-R=0D=0ACMS-855-S=0D=0AHow the CMS-855 forms= relate to each other=0D=0ANewer CMS-855-POH: Annual report physic=C3=ACa= n ownership=0D=0ANational provider identifiers (NPIs)=0D=0ATax identifica= tion numbers (TINs)=0D=0AOpt-out physic=C3=ACans/pract=C3=ACtioners=0D=0A= What is the process=0D=0AWhy would a physic=C3=ACan/pract=C3=ACtioner opt= -out?=0D=0AHow do opt-out physic=C3=ACans affect hospitals/clinics?=0D=0A= How does the CMS-855-O fit into this process?=0D=0ARevalidation Process=0D= =0ARevalidations cycl=C3=A8s=0D=0ACycl=C3=A8 1 process=0D=0ACycl=C3=A8 2 = process=0D=0ADetermining status and notification=0D=0ATime frames for com= pletion=0D=0ARisk levels=0D=0AOn-site visits=0D=0AAddressing changing org= anizational structuring=0D=0AImpact of organizational structuring on enro= llment=0D=0AIntegrated delivery systems=0D=0AMulti-specialty groups=0D=0A= Provider-based clinics/operations=0D=0AMaintaining NPIs and TINs=0D=0AOth= er related reporting requirements=0D=0AUtilizing PECOS versus manual subm= ission=0D=0ACase studies=0D=0AFuture requirements for conditions for paym= ent=0D=0AAnd more=0D=0A CLICK HERE TO REGISTER =0D=0AGet answers to you= r questions in the Q=26A directly from the speaker=0D=0ASav=C3=A8 upto 90= =25 with AudioEducator=E2=80=99s Annual License=0D=0AKnow More=21=0D=0A=E2= =9C=86 Call now at 1-866-458-2965 or email at customerservice=40audioeduc= ator=2Ecom (Reference cod=C3=A8: EHOSMW05_SA)=0D=0AAbout Our Speaker=0D=0A= Duane C=2E Abbey, Ph=2ED=2E is a management consultant and president of A= bbey =26 Abbey, Consultants, Inc=2E, which specializes in healthcare cons= ulting and related areas=2E Read more=0D=0AWe hope you found this message= to be useful=2E=0D=0AIf you don=E2=80=99t wish to receive any further co= mmunication, please click the unsubscribe link below=2E Your request will= be processed within 10 days=2E =0D=0AAudio Educator =7C 2222 Sedwick Rd,= Durham NC 27713 =7C 866-458-2965 =0D=0AThis message has been sent by Aud= io Educator=2E=0A=0A=0AThis message is intended for JOHN=40TRANSOCEAN=2EC= OM=2E If you do not wish to receive future emails, please click here: htt= p://incoming=2Esaveastamp=2Eca/unsubstracker=2Easpx?=7B0=7D=7BJOHN=40TRAN= SOCEAN=2ECOM=7D=7B941e8cc4-666a-424d-b6ec-802a667d7a1f=7D=2E=0D=0A --_=aspNetEmail=_c2c29a6efcc549459733be92bfdc77c7 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable <=21doctype html>=0D=0A=0D=0A=0D=0A=0D=0AMedicare enrollment update for 2018=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D= =0A=0D=0A
=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A= =0D=0A=0D=0A=0D=0A= =0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0AREGISTER NOW=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D= =0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A<= tr>=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A
=0D=0A<= table bgcolor=3D=22=23ffffff=22 border=3D=220=22 cellpadding=3D=220=22 ce= llspacing=3D=220=22 class=3D=22removeborder=22 style=3D=22width: 100=25;=22= >=0D=0A
Celebrate New Year wi= th AudioEducator=21
Apply code =22HNY20=22 at check-out =26amp; get = 20=25 OFF
(Valid till 2nd January, 2018)
= Medicare Enrollment Update for 2018
=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A=0D=0A
Presented By: Duane= C=2E Abbey
=0D= =0A
Live Audio Conference
Date: Tuesday, January 23, 2018 =7C Dura= tion: 90 minutes
Time: 1 pm ET =7C 12 pm CT= =7C 11 am MT =7C 10 am PT
= Learn about CMS-855 Forms Changes and Changes in Interpretations of the = Forms
Enrolling with the Medicare program involves the= various CMS-855 forms=2E The Medicare program uses a revalidation proces= s to periodically require all healthcare providers to resubmit their vari= ous 855 forms in order to assure that compliance is being maintained=2E O= ver time, the use and guidance for the enrollment process continues to mo= rph even though there is no change in guidance=2E This occurs through int= erpretations and clarifying guidance=2E

There are now seven diffe= rent forms that must be used by different providers of healthcare service= s or products=2E These forms are long, detailed and sometimes confusing=2E= Not only must they be filed initially for a given provider, they must be= maintained and updated as appropriate=2E Due to the increasing complexit= y of healthcare delivery systems, providers, such as integrated delivery = systems or large multi-specialty clinics, may have to maintain hundreds o= f these forms=2E In this session, healthcare consultant Duane C=2E= Abbey, will review the Medicare enrollment process through the = use of the various CMS-855 forms=2E Read more
Session Objectives
= This session will answer some questions, such as:=0D=0A
    =0D=0A=
  • Wha= t are CMS-855 forms?
    • =0D=0A
  • What is the newer CMS-855-POH= form?
    • =0D=0A
  • How is enrollment affected by the revalidati= on process?
    • =0D=0A
  • Why is the Medicare program so sensitive to enr= ollment?
    • =0D=0A
  • Where can you find the official regulations for Me= dicare enrollment?
    • =0D=0A
  • Do you have to use PECOS?
    • =0D= =0A
  • = Are there any problems with the Cycl=26egrave; 2 revalidation process?
    • =0D=0A
  • How can you check to see who needs to be revalidated?<= /li>=0D=0A
  • Are there really on-site audits relative to enrollment?
    • =0D= =0A
  • = What are these opt-out physic=26igrave;ans and pract=26igrave;tioners?
    • =0D=0A
  • How is Part D coverage involved with these CMS-855 forms?
    • =0D=0A
  • How are you supposed to keep a track of all the CMS-855 forms?=
    • =0D=0A
  • What are the compliance risks relative to Medicare enrollm= ent?
    • =0D=0A
=0D=0A
Session Highlights
This session will discuss:=0D=0A
    =0D=0A
  • Medicare enrollment proc= ess through the use of the various CMS-855 forms
    • =0D=0A
  • Changes to= the CMS-855 forms and/or the changes in interpretations of the forms
    • =0D=0A
  • The revalidation process for the various CMS-855 forms<= /li>=0D=0A
  • The CMS conditions for payment (CoPs)
    • =0D=0A
  • The Medicare con= cerns surrounding billing and payment for services and supplies=0D=0A
  • Organizational structuring changes such as with provider-based clini= cs
    • =0D=0A
  • The purpose and use of the six different CMS-855 forms al= ong with the new CMS-855-POH
    • =0D=0A
  • The concept of opt-out physic=26= igrave;ans and pract=26igrave;tioners
    • =0D=0A
  • How opt-out physic=26= igrave;ans can and/or should enroll in the Medicare program
    • =0D= =0A
  • = How Part D coverage is impacted by the enrollment process
    • =0D=0A=
  • The= fuss about ordering/referring physic=26igrave;ans
    • =0D=0A
  • <= font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>The reva= lidation process and associated challenges
    • =0D=0A
  • How other requir= ed reporting, such as the NPIs and provider-based reporting connect with = the Medicare enrollment
    • =0D=0A
  • The need to develop organizational r= esources to maintain multiple CMS-855 forms
    • =0D=0A
  • The proper use = of the Internet-based PECOS process
    • =0D=0A
  • Current and anticipated = changes for maintaining billing privileges with Medicare
    • =0D=0A=
  • Sev= eral case studies
    • =0D=0A
  • The need to establish contact with knowle= dgeable personnel at the MAC and/or RO
    • =0D=0A
=0D=0A
Session Agenda
=0D=0A
    =0D=0A
  • Introduction=0D=0A
      =0D=0A<= li>Cond= itions for payment: 42 CFR =26sect;424=0D=0A
    • Definitions: Provider= vs=2E supplier
      • =0D=0A
    • Claims filing process
      • =0D=0A
    • <= font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Reassign= ment of payments
      • =0D=0A
    • OIG investigations concerning fraudulent bil= ling
      • =0D=0A
    • Revalidation and billing credentialing
      • =0D=0A=
    • Opt= -out physic=26igrave;ans and pract=26igrave;tioners
      • =0D=0A=0D=0A=0D=0A
    • Review of the CMS-855 forms=0D=0A
        =0D=0A
      • CMS-855-A
        • =0D=0A
      • CMS-855-B
        • =0D=0A
      • CMS-855-I
        • =0D=0A
      • CMS-855-O
        • =0D=0A
      • CMS855-R
        • =0D=0A
      • CMS-855-S
        • =0D=0A
      • How the CMS-85= 5 forms relate to each other
        • =0D=0A
      • Newer CMS-855-POH: Annual repo= rt physic=26igrave;an ownership
        • =0D=0A
      • National provider identifie= rs (NPIs)
        • =0D=0A
      • Tax identification numbers (TINs)
        • =0D=0A=
      =0D=0A
      • =0D=0A
    • Opt-out physic=26igrave;ans/pract=26igrave;tioners=0D=0A
        =0D=0A
      • What is the process
        • =0D=0A
      • Why would a physic=26igr= ave;an/pract=26igrave;tioner opt-out?
        • =0D=0A
      • How do opt-out physic= =26igrave;ans affect hospitals/clinics?
        • =0D=0A
      • How does the CMS-855-= O fit into this process?
        • =0D=0A
      =0D=0A
      • =0D=0A
    • Revalidation= Process=0D=0A
        =0D=0A
      • Revalidations cycl=26egrave;s
        • =0D=0A=
      • Cyc= l=26egrave; 1 process
        • =0D=0A
      • Cycl=26egrave; 2 process
        • =0D= =0A
      • = Determining status and notification
        • =0D=0A
      • Time frames for completi= on
        • =0D=0A
      • Risk levels
        • =0D=0A
      • On-site visits
        • =0D=0A=
      =0D=0A
      • =0D=0A
    • Addressing changing organizational structuring=0D= =0A
        =0D=0A
      • Impact of organizational structuring on enrollment
        • =0D= =0A
      • = Integrated delivery systems
        • =0D=0A
      • Multi-specialty groups=0D=0A
      • Provider-based clinics/operations
        • =0D=0A
      • Maintaining NPIs and = TINs
        • =0D=0A
      • Other related reporting requirements
        • =0D=0A=
      =0D=0A
      • =0D=0A
    • Utilizing PECOS versus manual submission
      • =0D= =0A
    • = Case studies
      • =0D=0A
    • Future requirements for conditions for payment<= /font>
      • =0D=0A
    • And more
      • =0D=0A
    =0D=0A
=0D=0A= =0D=0A=0D=0A= =0D=0A=0D=0A=0D=0A=0D=0A
=26nbsp; CLICK HERE TO REGISTER =26nbsp;=
=0D=0A
Get answe= rs to your questions in the Q=26amp;A directly from the speaker<= /font>
Sav=26egrave; upto 90=25 with AudioEducator=26rsquo;s Annual License
Know More=21
=E2=9C=86 Call now at 1-866-4= 58-2965 or email at customerservice=40audioeducator=2Ecom (Reference cod=26egrave;: E= HOSMW05_SA)
About Our Speaker=
Duane C= =2E Abbey, Ph=2ED=2E is a management consultant and president of= Abbey =26amp; Abbey, Consultants, Inc=2E, which specializes in healthcar= e consulting and related areas=2E Read more=
=0D=0A
=0D=0A

We hope you found this messag= e to be useful=2E
If you don=26rsquo;t wish to receive any further com= munication, please click the unsubscribe link below=2E Your request will = be processed within 10 days=2E
Audio Educator =7C 2222 Sedwick Rd, D= urham NC 27713 =7C 866-458-2965
This message has been sent by Audio = Educator=2E

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