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,…
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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…
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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…
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Medicare Enrollment FAQ’s Q: How can a healthcare provider apply for and obtain a National Provider Identifier (NPI)? A: A healthcare provider may apply for an NPI in one of three ways: Apply through a web-based application process. The website to the National Plan and Provider Enumeration System (NPPES) is https://nppes.cms.hhs.gov Give permission for an Electronic…
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Medicare Provider Options FAQ’s Q: Do I have to enroll in Medicare, or can I see Medicare Beneficiaries (patients) on a cash basis? A: Chiropractors are in a group of three types of providers that cannot “opt out” of enrolling with Medicare. According to the Mandatory Claims Submission Rule you are required to bill Medicare for covered…
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Chiropractors Singled-Out When it Comes to Medicare Enrollment We are often asked why chiropractors must bill for covered chiropractic manipulative treatment (CMT) services delivered to a Medicare patient. Why are chiropractors singled out and required to have a Medicare enrollment number in order to treat Medicare patients while other types of practitioners are allowed to…