星空入口

Question: I need to make an adjustment to the credentialing information for one of my providers. Does this situation require filling out a new provider enrollment form?

North Carolina Subscriber

Answer: According to the Medicare Administrative Contractor (MAC) , there are different forms available depending on whether the information change involves an individual physician or a practice at large.

 Look for the following forms when you need to make changes to Medicare provider paperwork:

• CMS 855B: 鈥淭his application is used to enroll new health care organizations, such as group practices, or to make changes to an existing health care organization鈥檚 Medicare records.鈥�
• CMS 855I: 鈥淭his application is used to enroll new individual physicians or nonphysician practitioners, or to make changes to include new reassignments to an existing individual physician or nonphysician practitioner鈥檚 Medicare records.鈥�

Palmetto GBA also recommends filing the paperwork electronically through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) , where applications may be processed up to 50 percent more quickly than paper applications. 

Rachel Dorrell, MA, MS, CPC-A, CPPM, Development Editor, AAPC