CMS Issues Revised Medicare 855 Enrollment Forms

The Centers for Medicare and Medicaid Services (CMS) has issued revised version of various Medicare 855 Enrollment forms used by providers and suppliers to enroll in the Medicare program to be reimbursed for services provided to Medicare beneficiaries.

CMS' press release on the efforts to streamline and improve the enrollment process states, "the final regulation makes Medicare enrollment requirements more uniform so a health care provider or supplier can bill Medicare most efficiently. The rule standardizes existing Medicare enrollment requirements that have been used by the various Medicare contractors that process and pay Medicare claims."

Copies of the revised CMS 855 forms can be found on the CMS Forms site. Below are direct links to the particular 855 application forms.

855A (Institutional Provider)

855B (Clinics/Group Practices and Certain Other Supplier)

855I (Physicians and Non-Physician Practitioners)

855R (Reassignment of Medicare Benefits)

855S (DMEPOS Suppliers)

Tags: CMS, Medicare, 855, Enrollment, health care, regulatory