I've learned how to get credentialed with BCBS, Cigna, Aetna, and UHC. However I am learning that Medicare is a beast of its own. Interested in taking a course.
Hi there! Great job on what you’ve done so far. Medicare is really not that difficult if you know the steps. Unfortunately my course does not go into step-by-step for Medicare. The first step is getting permission in the I&A portal to work on behalf of the group and providers you need to credential/reassign for Medicare. You need to create your own log-in to access I&A. There are instructions on that website that to help you. When completed and you’re a user, you need to make sure they grant you permissions in PECOS specifically when they authorize you under their own accounts. Your credentials work in I&A, NPPES and PECOS (Medicare). Good luck!
@@navigatingthebusinessofmed8251 I am thinking about taking the Credentialing Specialist course in AAPC to get the certificate. I still haven't started Medicare yet, its my next project to learn. Thank you for the advice above.
Thank you for the information. Do you know what is an appropriate physical address to use when I apply for Medicare credentialing since my practice will be mobile service and I am a nurse practitioner in FL?
Hi and thank you for watching! Since you’re going to be doing mobile service and not have a brick and mortar building to see patients, they will accept your home address. You can also call your Medicare Administrator Contractor (MAC) to ask while completing the application as well. Good luck!
Hi there- you need to use the PECOS website to get the group enrolled then reassign all providers who will be working there under that group once approved. This is assuming the provider is already credentialed individually with Medicare. I encourage you to watch my videos on PECOS and other RU-vid videos on other channels. Good luck!
Great video Thank You. Do you know if providers need to be assigned to a surgery center if they are doing cases there once a month? Assuming the ASC is Medicare/Medicaid credentialed
Hi Tim, great question! Yes, in order to bill and be paid as in-network with Medicare, providers need to be assigned to any entities that bill with them as a rendering provider. Thank you for watching!
