The Medicare enrollment application is basically termed as an Office of Management and Budget approved form and is usually present in PDF fillable format. Such type of format permits the consumer to complete an application by utilizing the Adobe Acrobat and save this data on computer or download the application. Please refer to the CMS Forms List link below to access the applications:
SUBMISSION OF APPLICATION:
These types of Medicare enrollment application forms are fillable on your computer. The user can fill out the data needed by typing into the open fields while the form is showcased on your PC’s monitor. Through this way of filling out the forms before printing, signing and mailing means more easily-readable data – which means fewer errors and mistakes, queries, and delays when your application is processed. Don’t forget to make a copy of the signed form before mailing for your records.
Handwritten Signatures are still needed for this form. Before mailing your typed form(s), please do not forget to complete this key step.
These typed forms are very much convenient for Medicare to process, but the Internet – Based Provider Enrollment, Chain and Ownership System (PECOS) is believed to be the most effective technique for the submission of your enrollment application. This types of system i.e. PECOS instructs you through the enrollment application so you just supply data relevant to your application. PECOS also decreases the requirement for follow-up due to incomplete applications. By using Internet-based PECOS, you can get more accurate application and most probably it saves your time and administrative charges.
The completed application and all supporting documentation should be now mailed to the Medicare fee-for-service contractor serving your State or geographic location. Do not mail your application to the Centers for Medicare & Medicaid Services (CMS) in Baltimore, Maryland so that you won’t have to face delays in the processing of application.
Note to Remember: If you have not submitted a CMS-855 since the year of 2003 but you’re enrolled in Medicare, then you’re needed to submit a complete application. All the providers and suppliers should follow the required instructions for completing an initial enrollment application.
A physician provider or other supplier will develop an enrollment record in PECOS after submitting a Medicare enrollment application. For physicians and eligible non-physician practitioners, this means that your name and National Provider Identifier will be added to the Ordering and Referring Report during the next update cycle.
The forms which are routinely submitted with an enrollment application are as follow:
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