Medicare Provider Enrollment,
Made Easy!
Our Mission
Our mission is to insure. To serve our clients with obtaining Medicare and Medicaid billing privileges through the provider enrollment process. We work with the client, the Medicare Administrative Contractor, and the state Medicaid Programs to ensure that all compliance regulations are followed in accordance with federal and state law. With a strong understanding of provider enrollment regulations, we focus on the details of each provider individually.
Our Experience
We have a dynamic team with a wealth of knowledge, with a combined 40 plus years of experience. We have worked with over 40 individual providers, as well as multiple state-based agencies. We have developed several strategies to streamline the application process. This is a more efficient way of ensuring accurate information as well as managing time.
Services
We have worked with many of the CMS 855 forms and offer services of all types. Our primary focus has been hospitals, but that often entailed completing most of the types of CMS 855’s.
New enrollment - Original application for a new provider or service, a merger, or an acquisition.
Change of information - Updates, new practice locations, meeting new compliance requirements.
Revalidation - Required by CMS every 3 to 5 years to maintain billing privileges.
Closure - Deactivating locations and/or applications.
Maintaining all sub applications (psych, rehab, rural health facilities, group clinics, etc.)
Quarterly reviews of all applications.
Data
Provider Enrollment requires a great deal of sensitive information. In addition to licenses, certifications, and tax ID’s, the ownership disclosure section requires the full name as appears on social security card, SSN, state/province of birth, country of birth, date of birth, home address, title, effective date, and adverse legal actions.
In addition, Medicaid may require county of birth, driver’s license number, driver’s license issue state, and expiration date. This is required for every Board Member, Officer, and Managing Employee. We can use complete data provided by the client or we can collect the data for you.
The Practice location section requires every site to be listed, it must be an exact match to the service location used by billing, and there is an implied attestation that offsite locations meet Provider Based Criteria.
Benefits
As you can see, the work we provide is very detailed. Often there can be a lot of back and forth with the MAC or Medicaid agency. It can be time-consuming and distract your staff from their other responsibilities.
Cash flow is critical to every organization. By having our dedicated team performing this function, we can help reduce any unnecessary interruptions.
Contact Us
info@getproviderenrollmenthelp.com
770-906-7215
K. Atkinson Consulting LLC
1884 Lake Arrowhead Dr
Waleska, GA 30183