Author Topic: CMS 855R vs. CMS 855I  (Read 3145 times)

dc006

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CMS 855R vs. CMS 855I
« on: September 08, 2009, 11:05:14 AM »
Hello:

I have an MD who at one time had his own professional association, but did not do much billing with it, therefore stopped billing Medicare under that name.  Now they are wanting to stay with the group they are working in, but also "reactivate"/"reassign" his professional assocation name, billing once again with Medicare.

I also have a nurse practitioner wanting to do the same thing, to stay with the group they are with, but
"reactivate"/"reassign" his LLC once again with Medicare.  They both did not have much billing and let the separate businesses go by the wayside.

What is the actual difference between reactivate and reassignment?
What is the actual form they both should use to re-open their separate practices once again?
They both need to submit the CMS-588?

Thank you for any help!

Denise

Michele

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Re: CMS 855R vs. CMS 855I
« Reply #1 on: September 08, 2009, 09:15:32 PM »
Reactivate means to activate a Medicare PTAN that was deactivated due to inactivity.  Reassignment means to assign the benefits for services to another provider or group.  If they are both sole owners of their private groups they can reactivate thru the CMS 855I.  And yes they would both have to have 588 EFT's.

Michele
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dc006

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Re: CMS 855R vs. CMS 855I
« Reply #2 on: September 08, 2009, 10:17:16 PM »
Michele:

Just what I was thinking, but very happy to hear it from you.

Again, as always, thank you for your time and support to this forum.

Denise