What the “Medicare Provider Enrollment Relief ” Means for your Practice
The medicare provider enrollment relief program may seem confusing, but if you’re a dental practice who has been considering medical billing in their practice for medically necessary procedures then there has never been a better time to consider or simply GETTING ENROLLED. The main reason for this is because of the change that was announced on the 28th, by CMS.
This program expansion, which includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act, is one way that CMS is working to lessen the financial hardships of providers facing extraordinary challenges related to the COVID-19 pandemic, and ensures the nation’s providers can focus on patient care.
Needless to say, there has been major disruptions to the healthcare industry, with providers being asked to delay non-essential surgeries and procedures.
Medicare provides coverage for 37.4 million beneficiaries in its Fee for Service (FFS) program, and made $414.7 billion in direct payments to providers during 2019. This effort is part of the Trump Administration’s White House Coronavirus Task Force effort to combat the spread of COVID-19 through a whole-of-America approach, with a focus on strengthening and leveraging public-private relationships.
Why is this medicare provider enrollment relief update so important?
As CMS describes in their article: Accelerated and advance Medicare payments provide emergency funding and addresses cash flow issues based on historical payments when there is disruption in claims submission and/or claims processing. These expedited payments are typically offered in natural disasters to accelerate cash flow to the impacted health care providers and suppliers. In this situation, CMS is expanding the program for all Medicare providers throughout the country during the public health emergency related to COVID-19.
These payments can be requested by: hospitals, doctors, durable medical equipment suppliers and other Medicare Part A and Part B providers and suppliers. To qualify, there’s a a few things you’ll need to do, with the first being to: Register for our Webinar.
After that, in order to qualify or accelerated or advanced payments a provider must:
- Have billed Medicare for claims within 180 days immediately prior to the date of signature on the provider’s/ supplier’s request form,
- Not be in bankruptcy,
- Not be under active medical review or program integrity investigation, and
- Not have any outstanding delinquent Medicare over payments.
According to the CMS website: Medicare will start accepting and processing the Accelerated/Advance Payment Requests immediately. CMS anticipates that the payments will be issued within seven days of the provider’s request.
To Learn More about How to Become a Medicare Provider Register for our Webinar. If you’d like to learn more about the medicare provider enrollment relief program, take a look at this document for some of the most common FAQ. To dive in even deeper still, take a look at this fact sheet.