Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC necessary to apply or make a change in their Medicare enrollment record. Physicians and NPPs will no longer see questions that are not applicable for their supplier-type. While we will encourage all physicians, NPPs, physicians and NPP organizations and other providers and suppliers to utilize Internet-based PECOS when it is made available for their provider/supplier type and their State, all providers and suppliers will continue to have the option of submitting an enrollment application by paper. In order to use Internet-based PECOS to enroll or make a change in an enrollment record, physicians and NPPs will be required to use the User Id and user password obtained when applying for or updating their National Provider Identifier (NPI) with the National Plan and Provider Enumeration System (NPPES). Accordingly, physicians and NPPs will need to know their NPPES User ID/password information before trying to enroll or change their enrollment record with Medicare via Internet-based PECOS. To ensure privacy and security for these individual practitioners, we encourage that physicians and NPPs to reset their user password prior to initiating their first enrollment action via Internet-based PECOS, reset their user password at least once a year thereafter, and that physicians and NPPs not share their NPPES UserID/password 272
CMS-1403-FC with billing agents, clearinghouses, academic medical institutions, or staff within their practice. Physicians and NPPs choosing to use billing agents, clearinghouses, academic medical institutions, etc. will be required to submit a paper enrollment application to enroll or make a change in their Medicare enrollment record. In order to use Internet-based PECOS to enroll or make a change in an organizational enrollment record, we will verify that the authorized official associated with the Medicare enrollment record is employed by the organization and is authorized by the organization to submit or make changes to the organization enrollment record. Over the last 2 years, we have stressed the importance of filing a complete application at the time of filing or in response to a contractor’s request for additional information. However, Medicare contractors continue to report that a significant number of applications are incomplete at the time of filing or that applicants do not respond timely and completely to a contractor’s request for additional information. Finally, in the April 21, 2006 final rule, physicians, NPPs, and physician and NPP organizations learned about our intent to begin a revalidation process. 273
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<strong>CMS</strong>-1403-FC<br />
with billing agents, clearinghouses, academic medical<br />
institutions, or staff within their practice.<br />
Physicians and NPPs choosing to use billing agents,<br />
clearinghouses, academic medical institutions, etc. will be<br />
required to submit a paper enrollment application to enroll<br />
or make a change in their Medicare enrollment record.<br />
In order to use Internet-based PECOS to enroll or make a<br />
change in an organizational enrollment record, we will<br />
verify that the authorized official associated with the<br />
Medicare enrollment record is employed by the organization<br />
and is authorized by the organization to submit or make<br />
changes to the organization enrollment record.<br />
Over the last 2 years, we have stressed the importance<br />
of filing a complete application at the time of filing or<br />
in response to a contractor’s request for additional<br />
information. However, Medicare contractors continue to<br />
report that a significant number of applications are<br />
incomplete at the time of filing or that applicants do not<br />
respond timely and completely to a contractor’s request for<br />
additional information.<br />
Finally, in the April 21, 2006 final rule, physicians,<br />
NPPs, and physician and NPP organizations learned about our<br />
intent to begin a revalidation process.<br />
273