At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
Don’t Ignore CMS Reporting Requirements for Payor Enrollment Changes
If your practice or healthcare facility undergoes an organization change or change in office location, you must report the changes quickly to the Centers for Medicare & Medicaid Services (CMS) or face significant penalties.
CMS must be notified of a variety of transactions that qualify as either a change in ownership or a change of information:
A change in ownership (CHOW) can be a merger of one provider into another, a change in the members of a partnership, or a consolidation of 2 or more organizations into a new one.
A change in information (CHOI) is other information changes about the practice, such as moving to a new location, closing a location or a stock transfer.
If any of these types of changes occur to your business, you must notify CMS properly to meet the requirements in the Medicare provider agreement.
The Clock Is Ticking: Act Quickly To Report Changes Within the Deadlines
To avoid potentially significant penalties, you must report CHOW or CHOI changes promptly:
For physicians, physician organizations, non-physicians and non-physician organizations, report any change in ownership or practice location including payment address or adverse legal action to CMS within 30 days. You have 90 days to report all other changes to Medicare enrollment information such as changes to taxpayer identification number, billing agency and officer changes in a corporation.
For hospitals and most other suppliers, report change in ownership, change in authorized or delegated officials or change in managerial control to CMS within 30 days. You have 90 days to report all other changes including taxpayer identification number, adverse legal actions, officer changes in a corporation, payment address and billing agency.
All changes should be reported via the Provider Enrollment, Chain and Ownership System (PECOS).
Note that providers have been penalized for failure to notify CMS of changes, with punishments ranging from fines to enrollment suspension and even a period of termination from the Medicare program.
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!