Provider Enrollment Handout - Palmetto GBA

More documents

Recommendations

Info

ResourcesResources CMS Web site Resources:Provider EnrollmentInternet-based PECOSOrdering/Referring ReportMedicare Program Integrity Manual(IOM 100-8, Chapters 10 &15)26
Resources Palmetto GBA Web site Resources:Provider EnrollmentSelf-Service ToolsProvider Enrollment Application HelpProvider Enrollment ApplicationLookupMLN Matters ArticlesCR6417CR7350J1 Provider EnrollmentApplication Help Tool27
Page 1: Provider EnrollmentPalmetto GBA J1
Page 5 and 6: What is Your Business Structure?□
Page 9 and 10: What is PECOS? Provider Enrollment
Page 11: CMS PECOS Webpage PECOS example Enr
Page 15 and 16: CAP vs. Reconsideration□ CAP = Co
Page 17 and 18: CR 6417: Expansion of the CurrentSc
Page 19 and 20: During Phase 2 (Start Date to BeAnn
Page 21 and 22: Application Fees Does not apply to
Page 23 and 24: Signature Requirements□ Signature
Page 25: Minimizing Risks Ensure information

Provider Enrollment Handout - Palmetto GBA

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?