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Billing: Maintain Clean Record

This post was originally featured in HME News. Q. Should I be performing regular audits of my provider enrollment record?   A. Short answer, yes! Providers should review, or audit, their Provider Enrollment Record at least annually. In...

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Medicare Provider Enrollment Updates: What you need to know NOW!

The Centers for Medicare & Medicaid Services (CMS) continued its efforts to increase oversight of the Medicare program by updating Medicare provider enrollment regulations. Specifically, updates have been made to Medicare’s provider and supplier...

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Reminder: Annual Medicare Participation Announcement

Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment...

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Friday FAQ

Question: I am just starting a new home medical equipment business. How can The van Halem Group help? Answer: At vHG, we offer a variety of services for new DMEPOS suppliers, including assistance with getting your business accredited and enrolled...

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DMEPOS: New Provider Enrollment Appeals & Rebuttals Contractor Starts October 9

On Thursday, October 5, 2023, CMS announced that the last day the National Supplier Clearinghouse (NSC) will accept provider enrollment appeals and rebuttals is Friday, October 6, 2023. Beginning Monday, October 9, 2023, all provider...

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Changes to EFT authorization agreement form (CMS-588) submissions

Effective August 21, 2023, Electronic Funds Transfer (EFT) Authorization Agreement Form (CMS-588)  must be sent to the applicable National Provider Enrollment (NPE) contractor for the supplier’s physical location. Please refer to the below...

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Coming Soon: PECOS 2.0

CMS recently announced several updates to the online Provider Enrollment Chain and Ownership System (PECOS). Beginning this summer, PECOS will unveil the latest version, touted by CMS to make the process of applying to “become a Medicare provider...

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Updating your provider enrollment file? Use the current 855-S...or else!

CMS recently updated the 855-S DMEPOS supplier application, effective January 9, 2023. The new form can be found on the CMS Forms List and is currenlty being accepted for new enrollments and changes of information.  The National Provider Enrollment...

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Important Provider Enrollment Updates

Recently, the CMS made updates to the Medicare Enrollment chapter of the Program Integrity Manual. These changes are effective December 5, 2022.  Notable changes include updated provider enrollment instructions for:  Ownership disclosures Electronic...

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National Provider Enrollment (NPE) DMEPOS Transition Starts Today!

Effective today, November 7, 2022, DMEPOS suppliers will be required to submit enrollment applications to either the NPE East (Novitas Solutions) or NPE West (Palmetto GBA) contractors. DMEPOS activities for suppliers located east of the Mississippi River...

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