Medicare Enrollment Decision Tree
Scenario 1: You are the sole owner of a private practice contracting with Medicare for the first time.
You have never been issued an NPI
You have an NPI but your business does not have an NPI
Both you and your business have an NPI
You have a Medicare PTAN in your current state or territory
You have never had a Medicare PTAN anywhere
You have a Medicare PTAN in a different state or territory
Scenario 2: You are one of several owners of a private practice contracting with Medicare for the first time.
You have never been issued an NPI
You have an NPI but your business does not have an NPI
Both you and your business have an NPI
You have a Medicare PTAN in your current state or territory
You have never had a Medicare PTAN anywhere
You have a Medicare PTAN in a different state or territory
Scenario 3: You are hiring an employed therapist or working with an independent contractor and you need to reassign benefits for that therapist.
The therapist you are reassignment benefits for has never been issued an NPI
The therapist has an NPI but has never been issued a Medicare PTAN in your state or territory
5 Most Common Mistakes When Contracting as a Medicare Provider
You or the therapist you are hiring has had a Medicare I&A account created but does not have active control of that account.
You or the therapist you are hiring has a discrepancy between the name listed in the Medicare I&A system and/or the NPI Registry and/or your state license board.
Your business name does not match your IRS letter the CP 575 and/or your NPI Registry listing and/or the name on your business checks.
You do not have your IRS CP 575 letter.
You don’t respond to emails requisition additional information after submitting your Medicare application.
✔️ If you would like to learn more about Medicare billing please join our FREE Facebook community at Medicare Billing for (Mostly) Cash Based PT, OT, SLP
✔️ If you are interested in learning more about billing Medicare check-out our website at Learn Medicare Billing
✔️ And if you just want to learn more about me 😀 check-out my Facebook profile.
If you would like to mail me:
Total Therapy Solutions
5900 Long Meadow Dr
Middletown, OH 45005
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