Ordering / certifying requirements for Medicare claims
CMS change request (CR) 6417 expanded the scope of editing of electronic and paper claims to meet the requirements, established...
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Apply for an NPI
Learn how to apply for your NPI, search the NPI registry, and update your records in the National Plan & Provider Enumeration...
New enrollment
Use the links on the left to view the steps to become a Medicare provider. This section offers links to guide providers through...
Determining your Medicare effective date
Use this guide to help determine your Medicare effective date based on your applicable scenario(s).
Part B provider enrollment reconsideration requests
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new...
Hospital off-campus outpatient department enrollment requirements
Read this article for information on enrolling your hospital off-campus outpatient department sites.
Submitting a provider enrollment rebuttal
Read this article for instruction to submit a provider enrollment rebuttal.
Commonly used provider enrollment terms and their definitions
View these commonly used enrollment terms.
Top reasons for immediate returns of enrollment applications
Review this article to learn how to avoid an immediate return of an enrollment application.
Provider enrollment decision tree
Review our decision tree to help determine if you should enroll as an individual in private practice, sole proprietor...