Medicare Enrollment For Providers Who Solely Order, Certify, Or Prescribe 64MB Med Enroll Order Refer Prov Fact Sheet ICN906223
User Manual: 64MB
Open the PDF directly: View PDF 
.
Page Count: 15
| Download | |
| Open PDF In Browser | View PDF |
PRINT-FRIENDLY VERSION MEDICARE ENROLLMENT FOR PROVIDERS WHO SOLELY ORDER, CERTIFY, OR PRESCRIBE Target Audience: Medicare Fee-For-Service Program (also known as Original Medicare) and Medicare Part D drug, the Prescription Drug Benefit The Hyperlink Table, at the end of this document, provides the complete URL for each hyperlink. Page 1 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet QUICK START 1 2 3 4 GUIDE STEP Get an NPI • Check to see if you have one • If not, apply online, via paper application, or through an EFI STEP Enroll • Online in PECOS • Via paper application (CMS-855O) STEP Respond to requests from your MAC for more information STEP Keep enrollment information up to date (use PECOS or paper enrollment form) Page 2 of 15 ICN 906223 December 2017 NPI Provide more information Updated Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet TABLE OF CONTENTS Who Are Eligible Ordering/Certifying/Prescribing Providers? ....................................................... 5 Requirement 1: You Must Have an Individual NPI ........................................................................... 6 Requirement 2: You Must Be Enrolled in Medicare in an “Approved” or “Opt-Out” Status .............. 6 Requirement 3: You Must Be Eligible to Order/Certify/Prescribe ..................................................... 7 How Do I Enroll in Medicare as an Eligible Provider? ..................................................................... 8 Step 1: Obtain an Individual NPI ........................................................................................................ 8 Step 2: Complete the Proper Medicare Enrollment Application ..................................................... 9 A. Online PECOS Application .......................................................................................................... 9 B. Paper Medicare Enrollment Application (Form CMS-855O) ........................................................ 9 Application Fee .............................................................................................................................. 10 Step 3: Respond to Requests From Your MAC for More Information .......................................... 10 Step 4: Use PECOS to Keep Enrollment Information Up to Date.................................................. 10 Resources ...........................................................................................................................................11 Page 3 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Recent legislation requires physicians and other eligible professionals to enroll in the Medicare Program or have a valid opt-out affidavit on file to solely order or certify items or services, or to prescribe Part D drugs for Medicare beneficiaries. Those physicians and other eligible professionals enrolled solely as ordering, certifying, and prescribing providers do not and will not send claims to a Medicare Administrative Contractor (MAC) for their services. Explore these booklets for information on Medicare enrollment for health care professionals that will submit claims for reimbursement: ● PECOS for DMEPOS Suppliers ● Medicare Enrollment for Institutional Providers ● Medicare Enrollment for Physicians, NPPs, and Other Part B Suppliers NOTE: We use “you” and “eligible provider” to refer to physicians and other professionals eligible to solely order items, certify services, and prescribe Part D drugs. This booklet outlines the requirements for providers who solely order, certify, or prescribe to enroll in Medicare. First, we describe who qualifies as eligible providers. Then, we explain how to enroll in Medicare as one of these eligible providers. ORDERING AND CERTIFYING TERMS Medicare Part B claims use the term “ordering/certifying provider” (formerly “ordering/referring provider”) to identify the person who orders, prescribes, or certifies an item, drug, or service reported in a claim. The following are technically correct terms: ● A provider orders non-physician items or services for the beneficiary, such as Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); clinical laboratory services; or imaging services. ● A provider certifies home health services for a beneficiary. The health care industry uses the terms “ordered,” “referred,” and “certified” interchangeably. To view comments about this terminology, read the Changes in Provider and Supplier Enrollment, Ordering and Referring [Certifying], and Documentation Requirements Final Rule. Page 4 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet WHO ARE ELIGIBLE ORDERING/CERTIFYING/PRESCRIBING PROVIDERS? This booklet focuses on Part D prescribers and any other physicians or eligible professionals who order or certify Part A or Part B services but do not want to submit claims to Medicare. Any individual already enrolled as a Medicare Part B provider, DMEPOS supplier, or Part A Home Health Agency (HHA) provider may submit claims with ordering, certifying, or prescribing information, and receive payment without re-enrolling using Form CMS-855O. Those who enroll as eligible providers using Form CMS-855O may not seek or receive reimbursement from Medicare for services they furnish. They do not have billing privileges to submit claims to Medicare for services to Medicare beneficiaries. Eligible providers must meet these three basic requirements: 1. Have an individual National Provider Identifier (NPI) NOTE: Organizational NPIs do not qualify and cannot order, certify, or prescribe 2. Be enrolled in Medicare in either an “approved” or an “opt-out” status 3. Be of a specialty type that is eligible to order, certify, or prescribe DENIAL OF ORDERING, CERTIFYING, OR PRESCRIBING CLAIMS MACs deny the following claims if they lack a valid individual NPI: ● Claims from clinical laboratories for ordered tests ● Claims from imaging centers for ordered imaging procedures ● Claims from suppliers of DMEPOS for ordered DMEPOS ● Claims from Part A or Part B HHAs (services may only be ordered or certified by a Doctor of Medicine [M.D.], Doctor of Osteopathy [D.O.], or Doctor of Podiatric Medicine [DPM]) Part D plans will deny claims for Part D covered drugs if they lack a valid individual NPI. If a billed service requires an eligible provider and one is not present on the claim, the MAC will deny the claim. Along with a valid individual NPI, the claim must contain the eligible provider’s name as it appears in the Provider Enrollment, Chain, and Ownership System (PECOS). Page 5 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Requirement 1: You Must Have an Individual NPI There are two types of NPIs: Type 1 (individual) and Type 2 (organizational). Medicare allows only Type 1 NPIs for solely ordering items, certifying services, or prescribing Part D drugs. You can apply for an NPI in one of three ways: 1. Online Application: If you have not done so, register for an Identity & Access Management (I&A) System user account. Then apply for your NPI through the National Plan and Provider Enumeration System (NPPES). NOT SURE IF YOU HAVE AN NPI? Search for your NPI on the NPPES NPI Registry. 2. Paper Application: Complete, sign, and submit the NPI Application/Update Form (Form CMS-10114) paper application to the NPI Enumerator address on the form. To request a hard copy application, call 1-800-465-3203 or TTY 1-800-692-2326, or email customerservice@npienumerator.com. 3. Bulk Enumeration: Apply for Electronic File Interchange (EFI) access and upload your own comma-separated values (CSV) files. ONE ACCOUNT, MULTIPLE SYSTEMS The I&A System allows you to: ● Apply for and manage your NPIs in the NPPES ● Use PECOS to enroll in Medicare or update your current enrollment information Requirement 2: You Must Be Enrolled in Medicare in an “Approved” or “Opt-Out” Status Once you have an NPI, use PECOS to verify you have a current Medicare enrollment record that includes your NPI and that you are in an “approved” or “opt-out” status. Table 1 explains options to verify whether your current enrollment record exists in PECOS. Table 1. Options to Verify Your Current Enrollment Record Exists in PECOS Verification Option Enrollment Record Is Current If: Refer to the Medicare Ordering and Referring files for physicians/nonphysician practitioners (NPPs) and for power mobility device (PMD) suppliers.* You are identified on one of these reports. Visit PECOS to locate your enrollment record. Your enrollment record displays a status of “approved” or “opt-out.” Page 6 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Table 1. Options to Verify Your Current Enrollment Record Exists in PECOS (cont.) Verification Option If you submitted an enrollment application as one of the eligible provider types on paper (Form CMS-855O) or via PECOS and want to check the status, refer to the Initial Physician Applications Pending Contractor Review and Initial Non-Physician Applications Pending Contractor Review datasets. Remember that these applications are not fully processed and are awaiting contractor review. Enrollment Record Is Current If: Your enrollment application is pending contractor review if you are on one of these reports. * Certain claims for PMDs will be denied if the ordering provider is not on Medicare’s list of providers eligible to order them. Read Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider for more information. If you do not have an enrollment record in PECOS, refer to the “How Do I Enroll in Medicare as an Eligible Provider?” section of this booklet. Requirement 3: You Must Be Eligible to Order/Certify/Prescribe The physicians and eligible professionals who may enroll in Medicare solely for the purpose of ordering/certifying/prescribing Part D drugs include, but are not limited to, those physicians and eligible professionals who are: ● Employed by the Department of Veterans Affairs (DVA) ● Employed by the Public Health Service (PHS) ● Employed by the Department of Defense (DOD)/TRICARE ● Employed by the Indian Health Service (IHS) or a Tribal Organization ● Employed by Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), or Critical Access Hospitals (CAHs) ● Licensed Residents (as defined in 42 Code of Federal Regulations [C.F.R.] Section 413.75(b)) in an approved medical residency program ● Dentists, including oral surgeons ● Pediatricians ● Retired physicians who are licensed If you are not sure your specific provider specialty qualifies to enroll as an ordering or certifying provider, refer to Section 4 of Form CMS-855O or contact your MAC before submitting a Medicare enrollment application. Refer to the Medicare Fee-For-Service Provider Enrollment Contact List for MAC contact information for each State. Page 7 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet INTERNS AND RESIDENTS Claims for items or services ordered or certified, or for covered Part D drugs prescribed by interns and residents, whether licensed or unlicensed, must specify the name and NPI of a teaching physician. State-licensed residents may enroll to order, certify, or prescribe, and claims may list them. However, if States provide provisional licenses or otherwise permit residents to order, certify, or prescribe, the Centers for Medicare & Medicaid Services (CMS) allows interns and residents to enroll to do so, consistent with State law. HOW DO I ENROLL IN MEDICARE AS AN ELIGIBLE PROVIDER? CMS allows certain physicians and other eligible professionals to enroll in Medicare for the sole purpose of ordering or certifying specific items or services, or prescribing Part D drugs for Medicare beneficiaries. STEP 1: OBTAIN AN INDIVIDUAL NPI Providers must obtain an NPI before enrolling in the Medicare Program. See the earlier section, “Requirement 1: You Must Have an Individual NPI,” for instructions on obtaining an individual NPI. PROTECT YOUR INFORMATION Your NPI and Tax ID are publicly available information. Use extra caution to monitor and protect your professional and personal information to help prevent fraud and abuse. You must also ensure your patients’ personal health information is secure. CMS provides the following resources to help: ● Medicare Fraud & Abuse: Prevention, Detection, and Reporting ● Office of Inspector General ● Help Fight Medicare Fraud for patients Page 8 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet STEP 2: COMPLETE THE PROPER MEDICARE ENROLLMENT APPLICATION Once you have an NPI, you can apply to enroll in the Medicare Program, revalidate your enrollment, or change your enrollment information. Make sure you have the information you need to enroll before starting. Complete these actions using either PECOS or the paper enrollment form. A. Online PECOS Application This is CMS’ preferred method for Medicare enrollment. You must log in to PECOS with your I&A System credentials to initiate and complete the application process. PECOS is a scenario-driven application—it presents a series of questions to retrieve only the information needed to process your specific enrollment scenario. You can submit all supporting documentation through PECOS. PECOS IS EASY! We encourage you to use PECOS instead of the paper Medicare enrollment application. Advantages of using PECOS include: ● Completely paperless process, including electronic signature and digital document feature ● Faster than paper-based enrollment ● Tailored application process means you only supply information relevant to your application and specialty ● More control over your enrollment information, including reassignments ● Easy to update and check your information for accuracy ● Less staff time and administrative costs to complete and submit enrollment to Medicare B. Paper Medicare Enrollment Application (Form CMS-855O) The paper Medicare Enrollment Application: Eligible Ordering, Certifying, and Prescribing Physicians and Other Eligible Professionals (Form CMS-855O) is the application for enrolling solely to order, certify, or prescribe Part D drugs. Carefully complete and submit the paper enrollment application. Even if you submit your application on a paper form, a record is still created in PECOS. NOTE: If you submitted an abbreviated Form CMS-855I to enroll solely to order/certify prior to the implementation of Form CMS-855O, your enrollment is still valid and you are not required to reapply. Page 9 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Application Fee Physicians, NPPs, physician organizations, and non-physician organizations do not have an application fee. For more information about the provider types subject to an application fee, refer to the Application Fee Requirements Matrix. STEP 3: RESPOND TO REQUESTS FROM YOUR MAC FOR MORE INFORMATION Your MAC pre-screens and verifies all information on the enrollment application. During processing, you may need to submit additional information. Respond to any requests from your MAC as soon as possible, but within 30 days of the request. Failure to do so may delay enrollment or result in the rejection of the submitted application (deactivation). Once your MAC approves the application, it will switch the PECOS record to an “approved” status and send you an approval letter. STEP 4: USE PECOS TO KEEP ENROLLMENT INFORMATION UP TO DATE You can report a change in your Medicare enrollment information using PECOS. You must report a change of ownership or control, a change in practice location, and any final adverse legal actions (such as revocation or suspension of a Federal or State license) within 30 days of a reportable event (see the PECOS FAQs section on reportable events for a definition). Submit all other changes within 90 days of a reportable event. Page 10 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet RESOURCES For more information about the Medicare enrollment process, visit the Medicare Provider-Supplier Enrollment webpage, which provides information about: ● PECOS, including how to update your records using PECOS ● Paper Medicare enrollment application forms ● Frequently asked questions ● Contact information for all MACs ● CMS updates on provider enrollment Table 2. Resources For More Information About… Resource CMS External User Services (EUS) Help Desk To report PECOS navigation, access, or printing problems, contact the CMS EUS Help Desk. Find contact information at EUS.custhelp.com. I&A System Account Registration NPPES.CMS.HHS.gov/IAWeb/register/start Registration.do Initial Non-Physician Applications Pending Contractor Review Data.CMS.gov/Medicare-Enrollment/PendingInitial-L-and-Ts-Non-Physicians/n86y-dqck Initial Physician Applications Pending Contractor Review Data.CMS.gov/Medicare-Enrollment/PendingInitial-L-and-Ts-Physicians/ip7y-ztn9 MACs Provider Enrollment Contact List CMS.gov/Medicare/Provider-Enrollment-andCertification/MedicareProviderSupEnroll/ Downloads/contact_list.pdf Review Contractor Directory – Interactive Map CMS.gov/Research-Statistics-Data-andSystems/Monitoring-Programs/Medicare-FFSCompliance-Programs/Review-ContractorDirectory-Interactive-Map MLN Matters® Article, Eligible Physicians and Non-Physician Practitioners who need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Items and Services for Medicare Beneficiaries Page 11 of 15 ICN 906223 December 2017 CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNMattersArticles/ Downloads/MM7097.pdf Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Table 2. Resources (cont.) For More Information About… Resource MLN Matters Article, Instructions for Processing Form CMS-855O Submissions CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNMattersArticles/ Downloads/MM7723.pdf MLN Matters Article, Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider MLN Matters Special Edition Article, Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims MLN Matters Special Edition Article, Opting out of Medicare and/or Electing to Order and Certify Items and Services to Medicare Beneficiaries CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNMattersArticles/ Downloads/MM8239.pdf NPI CMS.gov/Regulations-and-Guidance/ Administrative-Simplification/NationalProvIdent Stand Order and Referring Data Files, Eligible Physicians/NPPs Data.CMS.gov/Medicare-Enrollment/Order-andReferring/qcn7-gc3g Order and Referring PMD Data Files, Eligible Physicians/NPPs Data.CMS.gov/Medicare-Durable-MedicalEquipment-DME-/Order-and-Referring-PMD/ g6jg-y93m PECOS PECOS System CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNMattersArticles/ Downloads/SE1305.pdf CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNMattersArticles/ Downloads/SE1311.pdf PECOS.CMS.HHS.gov About PECOS CMS.gov/Medicare/Provider-Enrollment-andCertification/MedicareProviderSupEnroll/Internet basedPECOS.html PECOS Technical Assistance Contact Information CMS.gov/Outreach-and-Education/MedicareLearning-Network-MLN/MLNProducts/MLNPublications-Items/CMS1243418.html Video Resources YouTube.com/playlist?list=PLaV7m2-zFKpia1Mc B1WKKkw2esAdiZRem Page 12 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Table 3. Hyperlink Table Embedded Hyperlink Complete URL Application Fee Requirements Matrix https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/MedicareProvider SupEnroll/Downloads/ApplicationFee RequirementMatrix.pdf Change of Ownership or Control https://www.cms.gov/Outreach-and-Education/ Outreach/FFSProvPartProg/ProviderPartnership-Email-Archive-Items/2017-05-18eNews.html#_Toc482773810 Changes in Provider and Supplier Enrollment, Ordering and Referring [Certifying], and Documentation Requirements Final Rule Check https://www.gpo.gov/fdsys/pkg/FR-2012-04-27/ pdf/2012-9994.pdf Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider Electronic File Interchange (EFI) https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNMatters Articles/downloads/MM8239.pdf EFI For Physicians/Non-Physician Practitioners (NPPs) https://npiregistry.cms.hhs.gov https://nppes.cms.hhs.gov/webhelp/nppeshelp/ EFI%20HELP%20PAGE.html https://data.cms.gov/Medicare-Enrollment/Orderand-Referring/qcn7-gc3g For Power Mobility Device (PMD) Suppliers https://data.cms.gov/Medicare-Durable-MedicalEquipment-DME-/Order-and-Referring-PMD/ g6jg-y93m Help Fight Medicare Fraud https://www.medicare.gov/forms-help-andresources/report-fraud-and-abuse/fraud-andabuse.html Identity & Access Management (I&A) System https://nppes.cms.hhs.gov/IAWeb I&A System Information You Need to Enroll Initial Non-Physician Applications Pending Contractor Review Page 13 of 15 ICN 906223 December 2017 https://pecos.cms.hhs.gov/pecos/help-main/ checklists.jsp https://data.cms.gov/Medicare-Enrollment/ Pending-Initial-L-and-Ts-Non-Physicians/n86ydqck Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Table 3. Hyperlink Table (cont.) Embedded Hyperlink Complete URL Initial Physician Applications Pending Contractor Review https://data.cms.gov/Medicare-Enrollment/ Pending-Initial-L-and-Ts-Physicians/ip7y-ztn9 Medicare Enrollment Application: Eligible Ordering, Certifying, and Prescribing Physicians and Other Eligible Professionals (CMS-855O) https://www.cms.gov/Medicare/CMS-Forms/ CMS-Forms/Downloads/cms855O.pdf CMS-855O Medicare Enrollment for Institutional Providers https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNProducts/ MLN-Publications-Items/CMS1243482.html Medicare Enrollment for Physicians, NPPs, and Other Part B Suppliers https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNProducts/ MLN-Publications-Items/CMS1243432.html Medicare Fee-For-Service Provider Enrollment Contact List https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/MedicareProvider SupEnroll/Downloads/contact_list.pdf Medicare Fraud & Abuse: Prevention, Detection, and Reporting https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNProducts/ MLN-Publications-Items/CMS1243333.html Medicare Provider-Supplier Enrollment https://www.cms.gov/Medicare/ProviderEnrollment-and-Certification/MedicareProvider SupEnroll National Plan and Provider Enumeration System (NPPES) https://nppes.cms.hhs.gov NPPES NPI Application/Update Form (Form CMS-10114) https://www.cms.gov/Medicare/CMS-Forms/ CMS-Forms/Downloads/CMS10114.pdf NPPES NPI Registry https://npiregistry.cms.hhs.gov Office of Inspector General https://oig.hhs.gov Online https://nppes.cms.hhs.gov/IAWeb Paper Application https://www.cms.gov/Medicare/CMS-Forms/ CMS-Forms/Downloads/CMS10114.pdf Page 14 of 15 ICN 906223 December 2017 Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe MLN Booklet Table 3. Hyperlink Table (cont.) Embedded Hyperlink Complete URL PECOS FAQs https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNProducts/ MLN-Publications-Items/ICN909015.html PECOS for DMEPOS Suppliers https://www.cms.gov/Outreach-and-Education/ Medicare-Learning-Network-MLN/MLNProducts/ MLN-Publications-Items/CMS1243483.html PECOS https://pecos.cms.hhs.gov Medicare Learning Network® Product Disclaimer The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health & Human Services (HHS). Page 15 of 15 ICN 906223 December 2017
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : Yes Author : CMS/CM/PCG/DPIPD Create Date : 2018:02:16 10:30:39-06:00 Keywords : Medicare, enrollment, guidelines, order, refer, denial edits, National Provider Identifier, NPI, Internet-based Provider Enrollment, Chain, and Ownership System, PECOS, individual physician, Non-Physician Practitioner, NPP, ordering, referring Modify Date : 2018:02:22 11:14:59-05:00 Language : en-US Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.6-c015 84.159810, 2016/09/10-02:41:30 Metadata Date : 2018:02:22 11:14:59-05:00 Creator Tool : Adobe InDesign CC 13.0 (Windows) Instance ID : uuid:ac4b76f4-55cc-4206-957f-8a65cd9fdbdb Original Document ID : xmp.did:c4d48dd8-a1f2-493b-8b13-82e1e5a1c3c1 Document ID : xmp.id:e23d1577-256b-0c41-adc1-3f96f4b5b256 Rendition Class : proof:pdf Derived From Instance ID : xmp.iid:ef56cb27-5819-4242-b976-ab60bc13d264 Derived From Document ID : xmp.did:0c9d5751-8b91-db4f-86e5-e939039d76c7 Derived From Original Document ID: xmp.did:c4d48dd8-a1f2-493b-8b13-82e1e5a1c3c1 Derived From Rendition Class : default History Action : converted History Parameters : from application/x-indesign to application/pdf History Software Agent : Adobe InDesign CC 13.0 (Windows) History Changed : / History When : 2018:02:16 10:30:40-06:00 Format : application/pdf Title : Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe Description : Medicare Enrollment for Providers Who Solely Order, Certify, or Prescribe Creator : CMS/CM/PCG/DPIPD Subject : Medicare, enrollment, guidelines, order, refer, denial edits, National Provider Identifier, NPI, Internet-based Provider Enrollment, Chain, and Ownership System, PECOS, individual physician, Non-Physician Practitioner, NPP, ordering, referring Producer : Adobe PDF Library 15.0 Trapped : False Page Layout : SinglePage Page Count : 15EXIF Metadata provided by EXIF.tools