Payment Matters: Stay Tuned for Changes to CMS 855


CMS recently published revised drafts of the current Medicare enrollment forms (i.e., the CMS 855A, CMS 855B, CMS 855I, CMS 855R and CMS 855S). In addition, CMS is proposing a new CMS 855O form, which would allow a physician who otherwise does not need to have Medicare billing privileges, to submit an application for the sole purpose of complying with the requirement that a physician must have a Medicare identification number to provide orders or referrals for certain Medicare-covered items and services.

Under the Paperwork Reduction Act of 1995 (PRA), federal agencies, including CMS, must plan for the collection of new information and the extension of ongoing information collections. In particular, CMS must publish a 60-day notice of and seek public comment on proposed information collections. In compliance with the PRA, CMS provided notice of the new CMS 855O and revised existing CMS 855 forms. Copies of the draft forms and CMS’s explanation of the proposed changes are available under the PRA section of CMS’s website.

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