Tasha Bomar
HCS35
December 6, 2012
Cassandra M. Wineglass
The Health Care Industry continues to grow daily and provide benefits for those who are
in need of employment or just want to be educated on the topic there of. With the world and the
fast paste we live in it is extremely important to find your area of need and focus. My area of
focus just so happens to be Health Care Information. For this week’s assignment, I targeted the
area of Medicare Part B. This area of operation was created to enroll institutional providers that
wish to bill for services offered by Medicare. Here we find the review and processesing of the
the CMS 855 B. There are several providers that are allowed to complete this application.
Ambulance Service Supplier, Ambulatory Surgical Center, Clinic/Group Practice, Independent
Clinical Laboratory, Independent Diagnostic Testing Facility(IDTF), Intensive Cardiac
Rehabilitation Supplier, Mammography Center, Mass Immunization (Roster Billing Only), Part
B Drug Vendor, Portable X-Ray Supplier, and Radiation Therapy Center are just to name a few.
Extensive training is given to ensure that you learn the different types of applications needed to
enroll Institutional Providers. Physicians and Non-Physician Practitioners are processed with the
application called the CMS 855 I & R. These applications are set in place for a provider to
complete and ensure Medicare approval. The applications are either given what is called a
Provider / Medicare Identification Number, or make recommendations for approval. In addition
To reviewing the application, CMS has set in place provider standards that must be adhered
to. There are 30 set in place, but I will only name a few. These standards can be viewed by
anyone at http://www.hqaa.org/docs/30supplierstandardsabv.pdf. “A supplier must be in
compliance with all
References: http://cciio.cms.gov/ http://www.cms.hhs.gov/ http://exclusions.oig.hhs.gov/ www.healthcare.gov http://www.hqaa.org/docs/30supplierstandardsabv.pdf. https://www.sam.gov/portal/public/SAM/