Enrollment Applications Updated

The Centers for Medicare and Medicaid Services (CMS) have updated the Medicare Enrollment Applications as of July 1, 2011. These include

  • 855B Clinics/Group Practices and Certain Other Suppliers
  • 855I Physicians and Non-Physician Practitioners
  • 855R Reassignment of Medicare Benefits
  • 855S Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

When completing these forms, make certain that you are using the most recent version. The footer of the form now lists the following date (07/11) beside the type of form. These forms may be completed on line but still require a handwritten signature prior to mailing the completed form(s).

Updated forms can be found at: http://www.cms.gov/MedicareProviderSupEnroll/02_EnrollmentApplications.asp#TopOfPage

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