decisionhealth Newsletters, Part B News - 2011 Issue 12 (December)
New enrollment form could curb referral-related denials
Subscribe or sign in to view the full article.
Article Overview
This article covers a CMS enrollment update for non-Medicare ordering and referring physicians, including how the new form fits into Medicare enrollment and provider identification processes. It is relevant to billing staff, practice managers, and providers who handle referred patients and want to understand the general enrollment and claims-administration changes discussed by CMS.
Why This Topic Matters
The update may affect whether claims for referred patient services are processed without denial when the referring or ordering provider is not enrolled in Medicare in the expected way. It also helps practices understand the broader CMS enrollment workflow for ordering and referring providers.
What You Will Learn
- How CMS changed the enrollment process for non-Medicare ordering and referring physicians
- How provider enrollment status can affect referred-patient claims
- What general enrollment pathways and forms are mentioned in the article
- How CMS distinguishes ordering and referring providers within its enrollment systems
Who Should Read This
- Medical billing professionals
- Practice managers
- Physician office staff
- Providers who order or refer patients
- Revenue cycle teams
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com