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New Medicare Enrollment Application (For Physicians and Non-Physician Practitioners)

All physicians and other qualified healthcare professionals (as defined in section 1848(k)(3)(B) of the Social Security Act) must use the CMS-855I (or PECOS) to enroll in the Medicare program and receive a Medicare billing number.

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New Medicare Enrollment Application (For Physicians and Non-Physician Practitioners)

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  1. New Medicare Enrollment Application (For Physicians and Non-Physician Practitioners) CMS received approval for a new Medicare Enrollment Application for physicians and non- physician practitioners (CMS-855I dated 12/2018). Many changes are minor; the major ones reduce provider burden: Eliminated reporting for advanced diagnostic imaging, Clinical Laboratory Improvement Amendments number, and the Food and Drug Administration radiology certification number Expanded instructions for individual and group affiliations to simplify reporting Made it optional to list a contact person Added electronic storage information for those who no longer keep paper records Created a more logical data flow You 30, Medicare Administrative Contractors will accept applications dated 7/2011, but after that, you have to use the new version. may begin using the new application immediately. Through April www.medicalbillersandcoders.com Copyright ©-2019 MBC. All Rights Reserved Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com 1

  2. Who is affected? All physicians and other qualified healthcare professionals (as defined in section 1848(k)(3)(B) of the Social Security Act) must use the CMS-855I (or PECOS) to enroll in the Medicare program and receive a Medicare billing number. www.medicalbillersandcoders.com Copyright ©-2019 MBC. All Rights Reserved Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com 2

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