decisionhealth Newsletters, Part B News - 2008 Issue 3 (March)
Practices must complete 855 to request single PTAN
Subscribe or sign in to view the full article.
Article Overview
This article explains CMS guidance for practices that need to consolidate multiple Provider Transaction Access Numbers into one PTAN and outlines the related Medicare enrollment paperwork. It is relevant to physician practices, group practices, and enrollment staff working with CMS, carriers, MACs, and PECOS. The article covers the general request process, the forms involved, and the sections of the enrollment application that must be completed.
Why This Topic Matters
Practices with multiple locations or enrollment identifiers may need to update their Medicare enrollment records so the PTAN and NPI align. Knowing which enrollment form sections are involved helps practices and billing staff prepare the required submission and avoid delays.
Article Sections
-
CMS guidance on consolidating PTANs
Introduces the circumstances under which practices may need to request a single practice identifier and describes the broader CMS enrollment context.
-
Enrollment submission requirements
Summarizes the documentation and form submission steps referenced by CMS for practices seeking to make the change.
-
CMS-855B sections for group practices
Lists the enrollment form sections referenced for group practices and notes the alternate location information submission option.
-
CMS-855I sections for sole proprietors
Lists the enrollment form sections referenced for sole proprietors and notes the alternate location information submission option.
-
PECOS requirement
Notes the additional enrollment step referenced for physicians or groups not already in the Medicare enrollment system.
What You Will Learn
- The CMS enrollment context for practices with multiple PTANs
- Which Medicare enrollment forms are referenced for different practice types
- What general information categories are included in the required submission
- How PECOS status affects the enrollment update process
Who Should Read This
- Physician practices
- Group practice administrators
- Medical billing staff
- Enrollment specialists
- Practice managers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com