Medicare Credentialing: A Comprehensive Guide for Healthcare Providers
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- Опубликовано: 2 авг 2024
- In this informative RUclips video, join us as we unravel the complexities of credentialing for Medicare providers. This video is a must-watch if you're a medical professional navigating the Medicare enrollment process. Our expert breaks down the crucial steps in getting your practice and yourself credentialed with Medicare.
Learn about the significance of PECOS (Provider Enrollment, Chain, and Ownership System), INAS (Identity and Access Management System), and NPPES (National Plan and Provider Enumeration System) in the process. Discover how to affiliate yourself with entities, assign providers to groups, and efficiently manage your affiliations. Avoid common pitfalls and ensure a streamlined process by following comprehensive guidance.
Don't let Medicare credentialing confuse you any longer-watch, learn, and empower yourself with the knowledge you need. If you find this video helpful, don't forget to hit the Thumbs Up button, subscribe for more valuable content, and share with fellow providers facing similar challenges. Together, we'll simplify Medicare credentialing!
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📚 Looking for more in-depth knowledge? Explore our blog for a wealth of articles on Medical Practice Management, Contracting and credentialing, and more: integralclinicsolutions.com/blog
RESOURCES:
PECOS RUclips Videos: • PECOS Enrollment Tutor...
Medicare Enrollment Group Application Info: www.novitas-solutions.com/web...
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I've learned how to get credentialed with BCBS, Cigna, Aetna, and UHC. However I am learning that Medicare is a beast of its own. Interested in taking a course.
Hi there! Great job on what you’ve done so far. Medicare is really not that difficult if you know the steps. Unfortunately my course does not go into step-by-step for Medicare. The first step is getting permission in the I&A portal to work on behalf of the group and providers you need to credential/reassign for Medicare. You need to create your own log-in to access I&A. There are instructions on that website that to help you. When completed and you’re a user, you need to make sure they grant you permissions in PECOS specifically when they authorize you under their own accounts. Your credentials work in I&A, NPPES and PECOS (Medicare). Good luck!
@@navigatingthebusinessofmed8251 Thank you!!
@@navigatingthebusinessofmed8251 I am thinking about taking the Credentialing Specialist course in AAPC to get the certificate. I still haven't started Medicare yet, its my next project to learn. Thank you for the advice above.
Very Informative video ❤
Thank you!
Great video Thank You. Do you know if providers need to be assigned to a surgery center if they are doing cases there once a month? Assuming the ASC is Medicare/Medicaid credentialed
Hi Tim, great question! Yes, in order to bill and be paid as in-network with Medicare, providers need to be assigned to any entities that bill with them as a rendering provider. Thank you for watching!
Thank you for the information. Do you know what is an appropriate physical address to use when I apply for Medicare credentialing since my practice will be mobile service and I am a nurse practitioner in FL?
Hi and thank you for watching! Since you’re going to be doing mobile service and not have a brick and mortar building to see patients, they will accept your home address. You can also call your Medicare Administrator Contractor (MAC) to ask while completing the application as well. Good luck!
How do I get a community mental health center set up with medicare?
Hi there- you need to use the PECOS website to get the group enrolled then reassign all providers who will be working there under that group once approved. This is assuming the provider is already credentialed individually with Medicare. I encourage you to watch my videos on PECOS and other RUclips videos on other channels. Good luck!
Hi! Does your company do consults for questions? There’s no contact us info on your website. Thanks!
Please email me at Jennifer@icsolns.net. Thanks for supporting my channel!
Does any possible to get medical billing business?
I’m apologize but I don’t understand the question. Can you please rephrase the question.
@@navigatingthebusinessofmed8251
Sorry for the inconvenience
Have you running the medical billing service?
Thanks in advance!
Hi. I do not own or operate a billing company.