5 Easy Steps To Complete 855r Medicare Application

Quick Links :

Applying for Medicare can be a daunting task, especially for those who are new to the process. With the numerous options and forms available, it's easy to get overwhelmed. However, completing the 855R Medicare application is a crucial step in becoming a Medicare provider. In this article, we will guide you through the process of completing the 855R Medicare application in 5 easy steps.

Understanding the 855R Medicare Application

Before we dive into the steps, it's essential to understand what the 855R Medicare application is. The 855R form is used by healthcare providers to reassign their Medicare benefits to another entity, such as a billing company or a group practice. This form is typically used when a provider wants to change their billing arrangement or when they are joining a new group practice.

Step 1: Gather Required Documents

Before starting the application process, you'll need to gather the required documents. These include:

• Your Medicare Provider Enrollment Application (CMS-855I)
• Your National Provider Identifier (NPI)
• Your Tax Identification Number (TIN)
• Your practice's licensure and certification documents
• Your reassignment agreement (if applicable)

Step 2: Complete the 855R Application Form

Once you have gathered all the required documents, you can start completing the 855R application form. The form is divided into several sections, including:

• Section 1: Provider Information
• Section 2: Reassignment Information
• Section 3: Certification and Authorization

Make sure to fill out each section carefully and accurately. You can find the 855R application form on the Centers for Medicare and Medicaid Services (CMS) website.

Step 3: Sign and Date the Application

Once you have completed the application form, you'll need to sign and date it. Make sure to sign the application in blue ink, as this is a requirement for Medicare applications.

Step 4: Submit the Application

After signing and dating the application, you can submit it to Medicare. You can submit the application via mail, fax, or electronically through the CMS website.

• Mail: Send the application to the Medicare Administrative Contractor (MAC) in your area.
• Fax: Fax the application to the MAC in your area.
• Electronic submission: Submit the application through the CMS website.

Step 5: Follow Up on Your Application

After submitting your application, it's essential to follow up on its status. You can check the status of your application on the CMS website or by contacting the MAC in your area.

By following these 5 easy steps, you can complete the 855R Medicare application and become a Medicare provider. Remember to gather all the required documents, complete the application form carefully, sign and date the application, submit the application, and follow up on its status.

Common Mistakes to Avoid When Completing the 855R Application

When completing the 855R application, there are several common mistakes to avoid. These include:

• Incomplete or inaccurate information
• Failure to sign and date the application
• Incorrect reassignment information
• Failure to submit the application to the correct MAC

By avoiding these common mistakes, you can ensure that your application is processed quickly and efficiently.

Tips for a Successful 855R Application

Here are some tips for a successful 855R application:

• Make sure to read the instructions carefully before starting the application.
• Use black ink when completing the application.
• Make sure to sign and date the application in blue ink.
• Use a separate sheet of paper if you need more space to answer a question.
• Keep a copy of your application for your records.

By following these tips, you can ensure that your 855R application is successful and that you become a Medicare provider.

Gallery of Medicare Application Images

We hope this article has been helpful in guiding you through the process of completing the 855R Medicare application. Remember to gather all the required documents, complete the application form carefully, sign and date the application, submit the application, and follow up on its status. By following these steps, you can ensure that your application is successful and that you become a Medicare provider.