Do You Only Order or Certify Services? Use Revised Enrollment Form CMS-855O by January 1
The revised Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals (Form CMS-855O) is required beginning 1/1/2023. We’ll post it on the CMS Forms List by early fall.
MACs will accept the current and revised versions of Form CMS-855O through 12/31/2022. Visit the Medicare Provider Enrollment and Certification webpage for more information.
Changes to the form include:
- New title
- Uniform language across all CMS 855 applications
- Revised reporting requirements and formatting in Section 3: Final Adverse Legal Actions
- Eight new specialties, including adult congenital heart disease
- Corrections in response to public comments