Showing posts with label Medicare provider Enrollment time frame - How to make it quicker. Show all posts
Showing posts with label Medicare provider Enrollment time frame - How to make it quicker. Show all posts

Wednesday, 16 September 2015

Medicare provider Enrollment time frame - How to make it quicker



How you can expedite your enrollment application process

As the Medicare administrative contractor (MAC) for jurisdiction N (JN), First Coast Service Options Inc. (First Coast) is not only responsible for processing Medicare claims but also for processing enrollment applications for providers and suppliers located in Florida, Puerto Rico, and the U.S. Virgin Islands.

The Centers for Medicare & Medicaid Services (CMS) has established the following timeliness standards for contractors responsible for processing enrollment applications within their assigned jurisdictions:

• PECOS Web applications (initial enrollment with no site visit) -- 80% must be processed within 45 days
• Paper-based applications (initial enrollment with no site visit) -- 80% must be processed within 60 days
• Paper-based applications (initial enrollment with site visit) -- 80% must be processed within 80 days
• Paper-based applications (changes to enrollment record or reassignment) -- 80% must be processed within 60 days

First Coast Provider Enrollment Average YTD Processing Times
(Through August 31)
 
PECOS Web Applications
Part A                Part B
 
No development 23 days 31 days
With development 83 days 60 days


Paper Applications
 
No development 36 days 26 days
With development 91 days 57 days

Factors affecting total processing times

Although First Coast processes each enrollment application as quickly as possible, the following key factors may affect the total processing time needed:
• Provider type:
• Part A -- institutional providers
• Part B -- physicians, non-physician practitioners, clinics, and group practices
Shortest processing times: Enrollment applications for Part B providers and suppliers

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