Medicare Application Updates; 855A, 855B, 855I, 855R

Webinar Overview

Discover how credentialing and payer enrollment processes directly impact your organization’s revenue cycle. This session also touches on key billing functions—from service entry to claim submission—and how they align with effective revenue cycle management. You’ll gain essential insights into Medicare enrollment and the strategic advantages of becoming a participating provider.

What You’ll Learn:

• How credentialing and enrollment influence revenue performance

• Key steps in billing, claim submission, and RCM workflows

• The structure and significance of Medicare enrollment

• Tips to remain compliant while managing provider data

• How to effectively handle Medicare applications, revalidations, and corrections

Essential Topics We’ll Cover:

• How to determine if a CMS 855I form is necessary when using PECOS for Medicare

• When and why to submit the 855R reassignment form

• Properly completing the correspondence address section on the 855I form

• Decoding Medicare’s use of the term “provider(s)”

• How to gain secure, compliant access to a provider’s Medicare application

• Who qualifies to be listed as the contact person on each application

• Reporting adverse legal or licensure actions on the 855I

• Timeframes for responding to Medicare correction requests

• Step-by-step guidance for mailing in paper Medicare applications

• Compliant procedures for establishing relationships with providers or organizations

• Medicare revalidation deadlines and why acting quickly matters

• Identifying which sections to verify when correcting provider addresses

• Key elements required to properly complete the 855R form

• Navigating language consistency issues from MACs when handling application errors

• Ensuring banking details match Medicare application addresses