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.
A new supplemental guide has been added to the Medicare Program Integrity Manual to assist those involved in preparing and submitting form CMS-8550.
Form CMS-8550 is a Medicare enrollment application for certain eligible ordering and certifying professionals along with other eligible professionals who order or certify items or services for Medicare beneficiaries.
Form CMS-8550 Requirements
Many doctors and other eligible professionals enroll with Medicare so they may be reimbursed for those covered services that they provide to Medicare beneficiaries.
However, the Affordable Care Act requires that certain physicians and eligible professionals who order or certify items or services for Medicare beneficiaries must also enroll with Medicare, even though they are not requesting reimbursement for Medicare services.
Examples of those who may enroll in Medicare only for ordering and certifying include but are not limited to:
Doctors of Medicine or Osteopathy
Doctors of Dental Medicine or Dental Surgery
Doctors of Podiatric Medicine
Doctors of Optometry
Clinical Social Workers
You can find a complete list of those who should complete and submit this form here along with instructions for completing the form.
Those who choose to enroll for the sole purpose of ordering or certifying items or services for Medicare beneficiaries may complete the CMS-8550 form using paper, or may use the PECOS process.
Read the Change Request for Medicare Administrative Contractors that adds the form CMS-8550 processing guide to the Medicare Program Integrity Manual.
Let Us Manage All Your Payer Enrollment Services
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 to put you on the right track. 1ˢᵗ Credentialing includes payor enrollment for all insurance networks. Don’t wait another minute, contact our team today!