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Posting Date: 06/11/2019
Ordering/Referring Provider Only
Ordering/Referring Provider Only Download CMS-855O. Complete sections 1, 2, 3, 4, 5, 6 and 8. Note: Ordering and referring providers are only required to be enrolled in one state. Be sure to include supporting documentation for [...]
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Posting Date: 09/25/2023
Adding a New Reassignment of Benefits Using the CMS-855I
Adding a New Reassignment of Benefits Using the CMS-855I Download CMS-855I version (5/23): Complete sections 1A and B, 2A, 3, 4F (add, terminate, change reassignment), 13, and 15B and 15C IMPORTANT: If an individual is new to the [...]
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Posting Date: 06/11/2019
Electronic Funds Transfer Agreement
Electronic Funds Transfer Agreement Download and complete the CMS-588 EFT Authorization Agreement. Physicians and nonphysician practitioners who are reassigning all of their payments to another entity are not required to submit the CMS-588. [...]
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Posting Date: 09/22/2023
Individual (Group Member) Reassigning Benefits Only
Individual (Group Member) Reassigning Benefits Only Download CMS-855I: Complete sections 1, 2, 3, 4, 4F, 12, 13 and 15 (B and C). Reassignment means that an individual physician, nonphysician practitioner, or other supplier has granted [...]
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Posting Date: 11/08/2019
Supporting Documents
Supporting Documents Attach required supporting documentation for individuals or organizations. Submit all applicable documents: CMS-588 EFT Authorization Agreement and voided check or bank confirmation letter IRS document(s) confirming [...]
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Posting Date: 07/31/2025
Meet Cotiviti - The Recovery Audit Contractor for CMS Region 5
This presentation introduces Cotiviti to Region 5 providers, offers an overview of the Medicare Fee-for Service Recovery Audit Program and demonstrates the features and functionality that equip providers to comprehensively respond to audits [...]
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Posting Date: 07/31/2025
MLN Connects® Newsletter: July 31, 2025
MLN Connects® Newsletter: July 31, 2025 News White House, Tech Leaders Commit to Create Patient-Centric Healthcare Ecosystem Medicare & Medicaid at 60: Strengthening Health Care for the Future Skilled Nursing Facilities: Revalidation [...]
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Posting Date: 07/31/2025
IMPORTANT: Action Required for SNF Revalidation and Attachment, Due Date is now 1/1/2026
IMPORTANT: Action Required for SNF Revalidation and Attachment, Due Date is now 1/1/2026 This message notifies SNFs that the 8/1/2025, due date for submission of their Form CMS-855A revalidation application or, as applicable, SNF Attachment [...]
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