On February 6, 2019, CMS issued a notification that the paper Form CMS-855R version will be changing. The current Form CMS-855R, version 4/16, which is used to enroll and deactivate practitioners from the Medicare program, is one of the most common Medicare enrollment forms utilized. Changes to the form version include the addition of a secondary practice location, which is used for physician compare reporting purposes, and an additional reason for submission called “Change of Reassignment Information.” The new paper version of the form is available on the CMS website and will be required for use as of May 1, 2020, when mailing to the Medicare Administrative Contractors. Please note reassignment submissions through electronic-based PECOS will always be on the latest version of the form.
Be sure you are prepared for this and other major changes impacting Medicare provider enrollment. We will be walking through the completion of each of the CMS-855 enrollment forms and the compliance risks associated with it, along with much more, at the Medicare Provider Enrollment Compliance Conference, April 27-30, 2020 at the Phoenix Convention Center. Visit www.medicareproviderenrollment.com for more information and to register.