CMSFORM.ORG – CMS 855O – Medicare Enrollment Application – Registration For Eligible Ordering and Referring Physicians and Non-Physician Practitioners – Medicare Enrollment Application can be a challenging process for healthcare providers, and it can be even more complicated for eligible ordering and referring physicians and non-physician practitioners. CMS 855O is specifically designed to streamline the registration process for these types of healthcare professionals. Understanding the intricacies of this form is crucial to ensure you are properly registered with Medicare, allowing you to provide critical services to your patients while receiving fair compensation. In this article, we will explore everything there is to know about CMS 855O and how it impacts your practice.
Download CMS 855O – Medicare Enrollment Application – Registration For Eligible Ordering and Referring Physicians and Non-Physician Practitioners
| Form Number | CMS 855O |
| Form Title | Medicare Enrollment Application – Registration For Eligible Ordering and Referring Physicians and Non-Physician Practitioners |
| Published | 2022-07-01 |
| O.M.B. | 0938-1135 |
| File Size | 391 KB |
What is a CMS 855O?
A CMS 855O form is a Medicare enrollment application designed for eligible ordering and referring physicians, as well as non-physician practitioners. This form is required by Medicare in order to enroll or revalidate the eligibility of these healthcare professionals to order or refer services for patients who are covered under the program.
In addition to basic identifying information, such as name and address, the CMS 855O form requires applicants to provide details regarding their medical license and certification, National Provider Identifier (NPI) number, practice location information, and other relevant personal details. The application also includes questions about the applicant’s previous disciplinary history with any state licensing boards.
It is important to note that this enrollment process does not apply to all healthcare providers – only those who are eligible for ordering or referring physicians or non-physician practitioners. Once submitted, it can take up to several months for an application to be fully processed and approved by Medicare.
Where Can I Find a CMS 855O?
CMS 855O is a Medicare enrollment application for eligible ordering and referring physicians as well as non-physician practitioners. The CMS 855O form can be found on the official Centers for Medicare & Medicaid Services (CMS) website or through third-party providers. It is important to note that only those who are eligible may submit this form.
One of the easiest ways to access the CMS 855O form is by visiting the CMS website and navigating to the Forms section under Resources. You can then search for “CMS 855O” and download a copy of the application directly from their site. Alternatively, you may also find copies of this form on other websites that specialize in providing healthcare-related forms.
Another option for obtaining a copy of the CMS 855O form would be to consult with your healthcare provider’s administrative staff or billing department, as they may have access to this document and be able to assist you in filling it out correctly. Regardless of where you obtain your copy of CMS 855O, it is crucial that all required fields are accurately filled out before submitting it for processing.
CMS 855O – Medicare Enrollment Application – Registration For Eligible Ordering and Referring Physicians and Non-Physician Practitioners
CMS 855O is a Medicare enrollment application designed for eligible ordering and referring physicians as well as non-physician practitioners. This application is used to register with Medicare and obtain a National Provider Identifier (NPI) number. The NPI number is a unique identification number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS).
In order to be eligible for CMS 855O, providers must meet certain requirements, including being enrolled in Medicare and having an active NPI number. Providers who refer patients to other healthcare professionals or facilities are required to enroll in this program in order for their referred services to be covered by Medicare. Non-physician practitioners, such as nurse practitioners and physician assistants, are also eligible to enroll if they meet the necessary criteria.
The CMS 855O application requires providers to provide detailed information about their practice, including their specialty area, areas of expertise, and contact information. Once the application has been submitted and approved by CMS, providers will receive an NPI number that can be used when billing for Medicare-covered services. Overall, CMS 855O provides an important avenue for ordering and referring physicians as well as non-physician practitioners to register with Medicare and ensure that their referrals are covered under the program.
CMS 855O – Example
