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Medicare Application Updates; 855A, 855B, 855I, 855

Yesenia Servin
Date & Time: All Days
Duration: 60 Minutes
Category: Healthcare
Type: Recorded Webinar

Description

Medicare enrollment can be complex, especially when determining which application is required for different provider scenarios. This session will guide you through CMS 855I and 855R applications, ensuring compliance and efficient processing.

Key Topics Covered:

  • CMS 855I Application: Learn when this application is required if using PECOS for Medicare enrollment.
  • CMS 855R Application: Understand the necessity of this application and its requirements.
  • Medicare Correspondence Address: Verify the correct mailing address listed on the CMS 855 form.
  • Provider Compliance: Ensure compliant access to Medicare applications for your providers.
  • Designated Contact Person: Understand who should be listed on every Medicare application.
  • Adverse Actions Reporting: Identify required disclosures for an 855I application.
  • Medicare Corrections & Timelines: Respond to corrections promptly and within CMS guidelines.
  • Medicare Paper Applications: Learn the correct process for completing and mailing paper forms.
  • Connecting with Healthcare Providers: Navigate the CMS-compliant process for individual and organizational connections.
  • Urgent Medicare Revalidations: Understand the timeline and urgency for revalidations.
  • Application Address Corrections: Learn which sections to check when a correction request is received.
  • Banking Information Accuracy: Ensure the banking address matches the Medicare application details.
  • Consistent MAC Communication: Know what to expect when working with a Medicare Administrative Contractor (MAC).

Learning Objectives

By attending this session:

  • Understand credentialing and enrollment processes that impact your revenue cycle.
  • Recognize billing processes, including service entry, claim submission, and revenue cycle management.
  • Gain insights into Medicare enrollment and the benefits of provider participation.

Who Should Attend?

This session is essential for professionals involved in Medicare enrollment and credentialing, including:

  • Healthcare Providers
  • Revenue Cycle Managers
  • Billing Specialists
  • Credentialing Staff

Price Details

Speaker Profile : Yesenia Servin

 Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines and processes. Guides the credentialing and payer enrollment structure.  Thrives on training and growing administrative, credentialing and enrollment healthcare professionals.