Provider Enrollment ACT (Ask-the-Contractor Teleconference)
View the handout for the February 28, 2018, The Provider Enrollment Ask-the-Contractor Teleconference (ACT).
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- Can a former NPI be added back to a crosswalk to correct 81A NOE issues?
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This question required additional research and further discussion with the provider.
Added: 03.16.18
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- NPI Crosswalk question: We currently are having issues where one of our locations received their own PTAN, so we now have 1 NPI attached to both the old and new PTAN. The previous slide stated that CGS can submit a request to have the incorrect PTAN/NPI combination unmatched. However, if we still have billing that needs to be submitted under the old combination (based on older episode dates), how would we get those episodes paid if it becomes unmatched? We will need to get the specific information from the provider and look in PECOS for this situation and speak with provider one on one. Also if there was a change in ownership, and the new owner is approved, they can no longer be added back. If it is not a new owner situation, there is a chance it can be added back.
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This matter required additional research and further discussion with the provider.
Added: 03.16.18
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- Do Managers have to e-sign for PECOS web?
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Not particularly managers but whoever is designated as an authorized designated official on the enrollment can sign.
Added: 03.16.18
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- Where do you download the hand out?
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If you are on a computer it is in the Go to Webinar Control panel in the Handout section. If you are using a tablet it may not say handout but it may be a notepad icon. You can download the handout from this section, save to your computer and print if this option is available to you.
Added: 03.16.18
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- On CMS 855 if there is a loan associated (bank loan) then is this where it is disclosed even if there is no ownership within the bank loan, it is simply a loan to start the company?
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If there is a loan which gives the bank a security interest in the provider organization, the bank would need to be disclosed/listed on section 5 of the application if they have 5% or greater of the company based on amount loaned. If you have a loan at the same bank that the provider receives their EFT, the bank has to waive their right of offset. They have to submit a letter and it becomes a part of the loan agreement that the bank will not take money from the account if defaulting on loan. Per Medicare guidelines the provider has to have total control of the account.
Added: 03.16.18
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- Are there any plans to make it possible to make EIN level changes instead of just PTAN/NPI level changes? When we need to make changes to board members, etc., we have to go into each enrollment under the EIN to make those…it would be great if there was an option to make the change once and apply it to every PTAN under that entity.
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Unfortunately at this time, there is no way to make updates based on the EIN. It is on the CMS’ radar as a potential enhancement at a future date.
Added: 03.16.18
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- Can a licensed Resident use PECOS to enroll or do they have to use paper application 855O? A licensed resident is only referring and ordering for Medicare beneficiaries!
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Per Part B Provider Enrollment, yes, a license resident can use PECOS to enroll for Ordering/Certifying (Referring).
Added: 03.16.18
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