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Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Medicare Enrollment

Our enrollment guide for occupational, physical, and speech therapists who wish to enroll in Medicare.  If you would like assistance with the enrollment process please contact us

Definitions

Steps for Enrolling in Medicare

    • Checklist for Practitioners using PECOS
    • Enrolling to Receive Medicare Payment

Effective Enrollment Date and Retroactive Billing

    • Effective Date of Enrollment
    • Retroactive Billing

Occupational Therapists in Private Practice

    • Conditions for Enrollment
    • License Requirements
    • Education Outside the United States

Physical Therapists in Private Practice

    • Conditions for Enrollment
    • License Requirements
    • Education Outside the United States

Speech Therapists in Private Practice

    • Qualifications for Enrollment 
    • License Requirements 

Site Visits for PT Practices

    • Initial Application
    • Revalidation
    • New/Changed Location
    • Additional Site Information
    • Form CMS-855I






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