Reprinted with permission from Part B News and DecisionHealth
Surrogates particularly will have an easier time with the NPPES step in the provider enrollment process thanks to recent changes.
On May 15, 2017, CMS’ National Plan and Provider Enumeration System – NPPES, the registry through which providers get and maintain their national provider identifier (NPI) numbers -- went to version 3.0. According to David Zetter, president of Zetter Healthcare Management Consultants in Mechanicsburg, Pa., who was a beta-tester for the new version, NPPES now allows surrogates to access both NPPES and PECOS for all the providers they represent with the same log-in.
Some still call it a "HCFA form". It has been known as the CMS-1500 form for quite some time. Either way, April 1, 2014, you are required to use the NEW CMS-1500 form (version 02/12) which will replace the current version (08/05).
As of March 28, 2014 Congress has not approved legislation that would replace the pending 24% cut to payments under the Medicare Physician Fee Schedule (MPFS).