Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. On this page, we list three important tools to review, download, and save in your Medicare training documents. First, general enrollment tips are provided for your reference. Next, an important alert is shared that relates to providers…
Providers MUST Maintain Active Enrollment with Medicare Doctors of Chiropractic may not opt out of Medicare. In order to see Medicare patients, providers must maintain active enrollment with the Medicare Administrative Contractor (MAC) in their jurisdiction. This is called revalidation. In accordance with 42 CFR §424.515, in order to maintain billing privileges with Medicare, a…
Medicare requires providers to revalidate their enrollment every 5 years. Sometimes, when a provider is not actively billing Medicare, their enrollment can become inactive. This short training outlines some of the pitfalls to be aware of and what to do about them.
Preparation During the Approval Process Once a Medicare application has been submitted and approved, it could take between 30 and 120 days for final processing. During that time, there is plenty of preparation that can be done. Enrollment is but a single step in the process. Now the practice must be readied to accept, treat,…
Electronic Data Interchange vs Paper Billing Once the Medicare enrollment application is approved, providers are assigned a Provider Transaction Access Number (PTAN) along with an Effective Date. This number is exclusive to Original Medicare Part B and will never be used in conjunction with any other Medicare Plan, such as Medicare Advantage Plans or Railroad…
Differences Between Participating and Non-Participating Providers This image provides a snapshot of the difference between Participating Providers and Non-Participating Providers in the Medicare Part B program. This at-a-glance image demonstrates how the obligations are slightly different between the two options. Participation status is a highly personal decision for providers, but it should be noted that…