Revised CMS-855R Application to Be Used Beginning January 1, 2017: Reassignment of Medicare Benefits

Posted: Sep 22 2016

Physicians and non-physician practitioners must use the revised CMS-855R (Reassignment of Benefits) application beginning January 1, 2017. Medicare Administrative Contractors will accept both the current and revised versions of the CMS-855R through December 31, 2016. 

The revised form makes the primary practice location section optional. However, this information is shared with other programs, such as the Physician Compare Initiative, to help beneficiaries identify your practice.

Visit the Medicare Provider-Supplier Enrollment webpage for more information about Medicare enrollment.

 

Helpful Links

Revised CMS-855R: Click Here to Download

https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/cms855r.pdf

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