The Centers for Medicaid and Medicare (CMS) continually change the rules for provider enrollment. The window for provider enrollment is only 60 days for initial enrollment and 30 days for a change in information; one mistake on a form could mean significant losses in reimbursement. Practices that have experience with the traditional paper forms may be required to transition to the online PECOS system in the near future.
Enrollment in the Medicare program is now an ongoing process, not a one-time event: ongoing maintenance must be performed to ensure filed enrollments are correct and up-to-date.
Many of these changes accompany the Federal Government’s increased focus on Fraud, Waste, and Abuse (FW&A). The government will continue to try to cut health care costs by increased vigilance in this area. As the new enrollment rules are essentially new FW&A regulations, CMS is engaging in stringent enforcement, which may increase the requirements for provider enrollment in the future. Health care professionals should expect regulations and procedures for reimbursements to continue to grow in complexity and demand more time to ensure compliancy.
PBSI can ensure that our clients meet all provider enrollment specifications. We can complete the necessary paperwork, maintain the required documentation and upkeep after the initial enrollment, and provide regular status reports. PBSI can monitor the entire enrollment process through to completion, freeing our clients from time-consuming and expensive administrative overhead.
PBSI can provide our clients the enrollment support to maintain full compliancy with all regulations, thus ensuring appropriate reimbursements are not delayed by paperwork glitches. Our services include:
- New Enrollments
- Updating/Maintaining Enrollments
- Enrollment Re-Validations
Contact us for more information on how we can customize our provider enrollment support services to suit your specific needs.