RE: Trouble with online Medicare revalidation

[Guest guest]

Tom

If the PT is the only owner of the corporate entity, and uses that entity to

bill Medicare, the application process is simplified in one application,

with no need to complete the 855b (Group) or the 855r (reassign benefits).

(or the PECOS equivalent)

.. Complete the proper form (855i) in paper format so that all the

information is readily available and accurate when creating an enrollment or

revalidation in PECOS

.. All names should correspond in exact form to names that the

Federal Government has:

o For individuals - corresponding to records on file with the Social

Security Administration

o For businesses - corresponding to records on file with the Internal

Revenue Service and the associated TIN as applicable

.. The revalidation letter will clearly indicate the NPI and PTAN

numbers that are being revalidated - to that end a copy of the original 855

application will assist in this process as to the correct form(s) to utilize

o Most, if not all, contractors have published " sample " revalidation

letters for reference

.. For PTs that are " solo " owners of their company, and will bill

Medicare through that entity the application process incorporates the 855i,

855b and 855r as one application. The directions are clearly written on the

855i form.

o In other words if you are the single owner of your entity, and will bill

Medicare through that entity, personal information is completed up to

Section 4 of the 855i, and information regarding your entity is used to

complete the remainder of the application (from Section 4 to the end)

o There is no need to complete the 855r (to reassign benefits) for the

owner of the entity as described in the above.

If the Idaho PT fits the above scenario, then the Managing employee section

must be filled out. The key is to check the top of the revalidation letter

to determine who/what is being requested to revalidate. This is why is will

be helpful to have a copy of the original application if available.

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

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From: PTManager [mailto:PTManager ] On Behalf

Of Tom Howell, P.T., M.P.T.

Sent: Thursday, December 29, 2011 11:52 AM

To: PTManager

Cc: office@...

Subject: Trouble with online Medicare revalidation

Hi everyone,

I have a question from an Idaho PT about Medicare revalidation. She had a

rejection of her online application due to " not listing the managing

employee " . She said that she could not find the location to enter this

information on the online format and when she called to get help she was

told to " read the instructions " . I have offered to help but I am not yet

familiar with the online revalidation format so I am asking your help to

see if you can let me know what she should do. Thanks

Tom Howell, PT, MPT

IPTA Payment Specialist

Meridian, ID

thowell@... <mailto:thowell%40fiberpipe.net>

[Guest guest]

Tom

If the PT is the only owner of the corporate entity, and uses that entity to

bill Medicare, the application process is simplified in one application,

with no need to complete the 855b (Group) or the 855r (reassign benefits).

(or the PECOS equivalent)

.. Complete the proper form (855i) in paper format so that all the

information is readily available and accurate when creating an enrollment or

revalidation in PECOS

.. All names should correspond in exact form to names that the

Federal Government has:

o For individuals - corresponding to records on file with the Social

Security Administration

o For businesses - corresponding to records on file with the Internal

Revenue Service and the associated TIN as applicable

.. The revalidation letter will clearly indicate the NPI and PTAN

numbers that are being revalidated - to that end a copy of the original 855

application will assist in this process as to the correct form(s) to utilize

o Most, if not all, contractors have published " sample " revalidation

letters for reference

.. For PTs that are " solo " owners of their company, and will bill

Medicare through that entity the application process incorporates the 855i,

855b and 855r as one application. The directions are clearly written on the

855i form.

o In other words if you are the single owner of your entity, and will bill

Medicare through that entity, personal information is completed up to

Section 4 of the 855i, and information regarding your entity is used to

complete the remainder of the application (from Section 4 to the end)

o There is no need to complete the 855r (to reassign benefits) for the

owner of the entity as described in the above.

If the Idaho PT fits the above scenario, then the Managing employee section

must be filled out. The key is to check the top of the revalidation letter

to determine who/what is being requested to revalidate. This is why is will

be helpful to have a copy of the original application if available.

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

<http://nancybeckley.com/> Description: Description: Description: Logo for

email signature3

<http://www.linkedin.com/in/nancybeckley> Description: Description:

ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley>

Description: Description: ZA102637858 Twitter Icon

From: PTManager [mailto:PTManager ] On Behalf

Of Tom Howell, P.T., M.P.T.

Sent: Thursday, December 29, 2011 11:52 AM

To: PTManager

Cc: office@...

Subject: Trouble with online Medicare revalidation

Hi everyone,

I have a question from an Idaho PT about Medicare revalidation. She had a

rejection of her online application due to " not listing the managing

employee " . She said that she could not find the location to enter this

information on the online format and when she called to get help she was

told to " read the instructions " . I have offered to help but I am not yet

familiar with the online revalidation format so I am asking your help to

see if you can let me know what she should do. Thanks

Tom Howell, PT, MPT

IPTA Payment Specialist

Meridian, ID

thowell@... <mailto:thowell%40fiberpipe.net>

[Guest guest]

Tom

If the PT is the only owner of the corporate entity, and uses that entity to

bill Medicare, the application process is simplified in one application,

with no need to complete the 855b (Group) or the 855r (reassign benefits).

(or the PECOS equivalent)

.. Complete the proper form (855i) in paper format so that all the

information is readily available and accurate when creating an enrollment or

revalidation in PECOS

.. All names should correspond in exact form to names that the

Federal Government has:

o For individuals - corresponding to records on file with the Social

Security Administration

o For businesses - corresponding to records on file with the Internal

Revenue Service and the associated TIN as applicable

.. The revalidation letter will clearly indicate the NPI and PTAN

numbers that are being revalidated - to that end a copy of the original 855

application will assist in this process as to the correct form(s) to utilize

o Most, if not all, contractors have published " sample " revalidation

letters for reference

.. For PTs that are " solo " owners of their company, and will bill

Medicare through that entity the application process incorporates the 855i,

855b and 855r as one application. The directions are clearly written on the

855i form.

o In other words if you are the single owner of your entity, and will bill

Medicare through that entity, personal information is completed up to

Section 4 of the 855i, and information regarding your entity is used to

complete the remainder of the application (from Section 4 to the end)

o There is no need to complete the 855r (to reassign benefits) for the

owner of the entity as described in the above.

If the Idaho PT fits the above scenario, then the Managing employee section

must be filled out. The key is to check the top of the revalidation letter

to determine who/what is being requested to revalidate. This is why is will

be helpful to have a copy of the original application if available.

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

<http://nancybeckley.com/> Description: Description: Description: Logo for

email signature3

<http://www.linkedin.com/in/nancybeckley> Description: Description:

ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley>

Description: Description: ZA102637858 Twitter Icon

From: PTManager [mailto:PTManager ] On Behalf

Of Tom Howell, P.T., M.P.T.

Sent: Thursday, December 29, 2011 11:52 AM

To: PTManager

Cc: office@...

Subject: Trouble with online Medicare revalidation

Hi everyone,

I have a question from an Idaho PT about Medicare revalidation. She had a

rejection of her online application due to " not listing the managing

employee " . She said that she could not find the location to enter this

information on the online format and when she called to get help she was

told to " read the instructions " . I have offered to help but I am not yet

familiar with the online revalidation format so I am asking your help to

see if you can let me know what she should do. Thanks

Tom Howell, PT, MPT

IPTA Payment Specialist

Meridian, ID

thowell@... <mailto:thowell%40fiberpipe.net>

[Guest guest]

Thanks !

M.Howell, P.T., M.P.T.

IPTA Payment Specialist

Meridian, Idaho

thowell@...

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From: PTManager [mailto:PTManager ] On Behalf

Of Beckley

Sent: Thursday, December 29, 2011 1:55 PM

To: PTManager

Subject: RE: Trouble with online Medicare revalidation

Tom

If the PT is the only owner of the corporate entity, and uses that entity to

bill Medicare, the application process is simplified in one application,

with no need to complete the 855b (Group) or the 855r (reassign benefits).

(or the PECOS equivalent)

.. Complete the proper form (855i) in paper format so that all the

information is readily available and accurate when creating an enrollment or

revalidation in PECOS

.. All names should correspond in exact form to names that the

Federal Government has:

o For individuals - corresponding to records on file with the Social

Security Administration

o For businesses - corresponding to records on file with the Internal

Revenue Service and the associated TIN as applicable

.. The revalidation letter will clearly indicate the NPI and PTAN

numbers that are being revalidated - to that end a copy of the original 855

application will assist in this process as to the correct form(s) to utilize

o Most, if not all, contractors have published " sample " revalidation

letters for reference

.. For PTs that are " solo " owners of their company, and will bill

Medicare through that entity the application process incorporates the 855i,

855b and 855r as one application. The directions are clearly written on the

855i form.

o In other words if you are the single owner of your entity, and will bill

Medicare through that entity, personal information is completed up to

Section 4 of the 855i, and information regarding your entity is used to

complete the remainder of the application (from Section 4 to the end)

o There is no need to complete the 855r (to reassign benefits) for the

owner of the entity as described in the above.

If the Idaho PT fits the above scenario, then the Managing employee section

must be filled out. The key is to check the top of the revalidation letter

to determine who/what is being requested to revalidate. This is why is will

be helpful to have a copy of the original application if available.

J. Beckley, MS, MBA, CHC | President

Beckley & Associates LLC

P | F

<http://nancybeckley.com/> nancybeckley.com |

<http://rehabcomplianceblog.com/> rehabcomplianceblog.com

<http://nancybeckley.com/> Description: Description: Description: Logo for

email signature3

<http://www.linkedin.com/in/nancybeckley> Description: Description:

ZA102637857 Linked In Icon <http://www.twitter.com/nancybeckley>

Description: Description: ZA102637858 Twitter Icon

From: PTManager <mailto:PTManager%40yahoogroups.com>

[mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On

Behalf

Of Tom Howell, P.T., M.P.T.

Sent: Thursday, December 29, 2011 11:52 AM

To: PTManager <mailto:PTManager%40yahoogroups.com>

Cc: office@... <mailto:office%40ptidaho.org>

Subject: Trouble with online Medicare revalidation

Hi everyone,

I have a question from an Idaho PT about Medicare revalidation. She had a

rejection of her online application due to " not listing the managing

employee " . She said that she could not find the location to enter this

information on the online format and when she called to get help she was

told to " read the instructions " . I have offered to help but I am not yet

familiar with the online revalidation format so I am asking your help to

see if you can let me know what she should do. Thanks

Tom Howell, PT, MPT

IPTA Payment Specialist

Meridian, ID

thowell@... <mailto:thowell%40fiberpipe.net>

<mailto:thowell%40fiberpipe.net>