Guides and updates on Medicare provider enrollment.
“Link Your NPI to a Group”
You just graduated and have an NPI, but you aren't getting paid yet. Here is how to actually link that NPI to your new group practice using PECOS without losing your mind.
“Cost-Benefit Analysis”
Is your practice better off handling the CMS-855 flurry in-house or hiring pros? We break down the math and the headaches of PECOS management for 2025.
“Fixing Your Medicare Billing Hold from”
When Medicare freezes your payments because of a pending 855A, your RCM goes into cardiac arrest. Here is how to get the cash moving again in 2025.
“Medicare Revalidation Timeline 2025”
CMS gives you seven months' notice before your Medicare billing rights expire, but most practices wait until month six. Here is how to handle the 2025 revalidation cycle without losing your revenue stream.
“Medicare Opt-Out”
Deciding to opt out of Medicare is a major strategic shift for healthcare practices. This guide covers the pros and cons of opting out, who is eligible, and the step-by-step process for filing affidavits and managing private contracts with beneficiaries.
“Medicare Revalidation”
Medicare revalidation is a critical compliance requirement. Missing a deadline can lead to immediate deactivation of billing privileges and unrecoverable lost revenue. Learn how to manage PECOS data, monitor deadlines, and avoid common revalidation pitfalls.
“Medicare Effective Date Rules and Retroactive”
Understanding Medicare effective date rules is vital for practice revenue. Learn about the 30-day retroactive billing rule, PECOS filing strategies, and how to avoid 'blackout' periods caused by application rejections or deactivation.
“Medicare PECOS Enrollment”
Comprehensive guide to Medicare PECOS enrollment for healthcare providers. Learn how to navigate the I&A system, manage CMS-855 forms, handle reassignment of benefits, and stay compliant with revalidation requirements to ensure uninterrupted revenue.
“Medicare Enrollment for Telehealth and Locum”
Managing Medicare enrollment for telehealth and locum tenens providers requires navigating strict CMS rules, including the 60-day locum rule and multi-state licensure updates in PECOS. Learn how to manage 855 forms and reassignments to protect your practice revenue.
“CMS 855I vs 855B vs 855R”
Master the differences between CMS-855I, 855B, and 855R. Learn which Medicare enrollment form your practice needs to ensure timely provider enrollment, group billing, and benefit reassignment.
“Reassigning Medicare Benefits to a Group”
Learn the essential steps to reassigning Medicare benefits to a group practice using the CMS-855R and PECOS. Discover common pitfalls, effective dates, and how to protect your practice's revenue cycle during provider transitions.
“Change of Information Filings for Medicare”
Maintaining an accurate Medicare enrollment is vital for uninterrupted reimbursement. This guide covers the essential requirements for Change of Information (COI) filings, including the 30 and 90-day reporting rules, PECOS vs. paper forms, and best practices.
“Adding a New Provider to an”
Learn the essential steps for adding a new provider to your Medicare group. This guide covers PECOS submissions, CMS-855 forms, reassignment of benefits, and how to avoid common pitfalls that delay reimbursement.
“Common PECOS Rejection Reasons and How”
Explore the most common PECOS rejection reasons, from data discrepancies to signature errors. Our guide provides actionable solutions to ensure your Medicare enrollment or revalidation is approved quickly without revenue-disrupting delays.