Effective May 1, 2006 CMS -Centers for Medicare and Medicaid have modified the Medicare provider enrollment application. This new version of the 855 is referred to as the 04/06 Version of the CMS-855. The entire format has changed and therefore any provider applications that are not processed in completion by June 2, 2006 or are returned to a provider for missing or invalid information will need to be replaced with the new application. Furthermore, CMS is pressuring all providers to accept payment of the Medicare reimbursement via electronic funds transfer -EFT. The way that this is being enforced is that any time a Medicare provider file requires updating for any reason, CMS will now require that along with the documentation necessary to complete such a change they will also require the EFT documentation to be completed. Additionally, those providers that receive their Medicare funds via EFT will also stop receiving a paper remittance advice as of June 1, 2006. These changes are to reduce administrative costs to the program but for a practice that is not prepared to either accept or process the ERA - Electronic Remittance Advice and / or EFT funds it will be problematic.

Provider Enrollment
Facilitating Your Medicare Enrollment

On May 1, 2006, the Centers for Medicare & Medicaid Services (CMS) issued the revised CMS-855 Medicare enrollment applications. This Special Edition provides additional information regarding the submission of a Medicare enrollment application. Providers and suppliers should begin to use the new Medicare enrollment applications immediately. Click here for complete update.

Revised CMS-855 Medicare Enrollment Applications

On May 1, 2006, revised CMS-855 Medicare enrollment applications were released for use effective immediately. This article outlines the changes to the enrollment applications. Click here for complete update.