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CMS
Provider Enrollment Web Site
This will link you to the CMS Provider/Supplier Enrollment web site. This site is designed to provide Medicare enrollment information for Institutional Providers, Physicians, Practitioners and Suppliers of medical and health services.
NPI Fact Sheet: For Health Care Providers Who Are Sole Proprietors
National Plan and Provider Enumeration System (NPPES) Web Site
The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers, as well as the adoption of standard unique
identifiers for health plans. The purpose of these provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. The Centers for Medicare & Medicaid Services (CMS) has developed the National
Plan and Provider Enumeration System (NPPES) to assign these unique identifiers.
Enrollment Process Instructions
This section provides detailed descriptions of the Provider
Enrollment applications and provides assistance in selecting the
correct forms to complete.
Enrollment Forms
This page provides descriptions of the Provider Enrollment
applications in addition to direct links for downloadable versions
of the forms.
Enrollment Forms FAQ's
This page contains commonly asked question by providers dealing
with the revised provider enrollment forms.
Fraud and Abuse
Contains definitions for and examples of Fraud and Abuse. This
page also explains why it is important to report fraud and abuse.
Par Explanation and Agreement
What are the benefits of being a participating provider? Select
this page for additional information in addition to a downloadable
version of the Participation Agreement.
PAR vs. Non-PAR
Provides a detailed comparison of the benefits of being a
participating provider and nonparticipation in the Medicare program.
Definitions
Contains several definitions of terms relating to Provider
Enrollment. |
