CMS 855O, 855I and 855R for Medicare Enrollment

Event Materials (Key Required)

Course Description

CMS in its latest update merged the CMS 855R into the 855I paper enrollment application, it means you cannot use the 855R again if you want your providers to be able to get reimbursed from Medicare. Medicare payor enrollment can be time-consuming and frustrating. Some of the 855 forms were recently updated. Failure to use the updated forms can cause outright rejection of the application and lead to significant delays in getting your providers enrolled.

In this webinar, we will review the Medicare applications, 855I, 855O, and 855R. Understand each application, which specialties it applies to and the layers of each application. We will review each section of the application within PECOS. The starting point is with CMS connections to your provider(s). Credentialing and Enrollment expert Yesenia will show you the full detailed process for the 855I, 855O, and 855R. Yesenia will walk you through the provider enrollment process step-by-step and will help you more seamlessly get more of your physicians and non-physician providers approved for reimbursement by payer plans.

Learning Objectives

• Overview of CMS connection in order to remain compliant and to successfully complete Medicare provider applications
• Learn the process of completing 855I
• Understand the process of completing 855O
• Discuss the process of understanding and completing 855R  
• Review each section of the application within PECOS
• Know the payer specific rules and requirements both government and commercial payers
• Understand the revalidation process for the various CMS-855 forms

Areas Covered in the Session

• Medicare applications
• Individual applications
• Reassignments
• Ordering and referring applications
• PECOS  
• CMS Connection
• Identity & Access
• 855I
• 855O
• 855R
• Physician applications
• Healthcare provider applications
• Government and commercial Payers
• Live Q&A session

Suggested Attendees

• Credentialing Specialist
• Revenue Cycle Managers
• Enrollment Specialist
• Hospitals
• Mental Health Providers
• LCPC
• LMFT
• Practice, Clinic Owners
• Hospital Leadership
• Authorized Officials 
• Delegated Officials 
• Revenue Cycle Directors 
• Credentialing
• Office Manager
• Revenue Cycle
• Operations
• Billing Team
• In and Out of Network Providers
• Medical Billing Companies
• Providers Office Staff
• Physician
• Hospitals and Facilities
• Insurance Companies
• Healthcare Attorneys
• Executive and Administrators
• Front Desk
• Scheduling
• Authorizations Staff
• Medical Assistants
• Certified Nursing Assistants

About the Presenter

Yesenia Servin CPMSM, PESC is an expert in credentialing and provider/payer enrollment with over 23 years of experience in the healthcare industry. Yesenia has a deep understanding of Medicare & Medicaid enrollment and is a nationally certified credentialing manager and provider enrollment specialist. Through, YS Credentialing PLLC, Yesenia helps organizations develop and implement best practices guidelines and processes. Guides the credentialing and payer enrollment structure.  Thrives on training and growing administrative, credentialing and enrollment healthcare professionals.

Yesenia manages payer enrollment, keeps team members and colleagues up to date on industry trends, and is a liaison to all departments that impact payer-enrollment processes. Yesenia works with durable medical equipment, hospital and health systems, and community mental health organizations, global managed care organizations as well as providing revenue cycle consulting services to various healthcare providers and organizations. 

Yesenia is a current CharterOak University Faculty, NAMSS member, and is a past NAMSS Educational Conference Guest Speaker, a current member of the NAHRI Leadership Council, current trainer for The Chicago School of Professional Psychology trainer and a TMG Collaborator. Yesenia studied microeconomics and communications at NEIU and healthcare administration at Concordia University Chicago. 

Additional Information

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

Purchase Order Form - Click Here to download PO form. 

Snippet From Our Previous Session

Testimonials