Become a Medicare Provider
A federally funded health-care program, Medicare provides affordable health-care services to qualified U.S. residents. In addition to meeting certain requirements, Medicare recipients must also visit an approved physician or medical facility. These health-care providers in turn receive reimbursement for the services they provide. Although physicians must complete a lengthy application to become a Medicare provider, the process is relatively simple once you have the required documentation.
Instructions
Become a Medicare Provider
1. Review the Medicare guidelines. In addition to the federal regulations, each state also has its own regional policies. You should be aware of both.
2. Learn the differences between the types of Medicare policies. Generally, if you work in a nursing home or hospital, you'll need Part A Medicare, while private doctors and group practices will most likely require Part B Medicare.
3. Obtain an NPI number. A requirement for any Medicare provider, this 10-digit number ensures Health Insurance Portability and Accountability (HIPAA) compliance.
4. Contact the Medicare carrier in your area for a Medicare-provider application. As the point of contact for all Medicare issues, your carrier is also useful if you have any questions or concerns about the enrollment process.
5. Complete the application in its entirety. You'll also need to include a copy of your drug-enforcement administration (DEA) certificate, IRS form W-9, Medicare provider letter and a copy of your state business license.
6. Review the terms of your Medicare certification. Before you become a provider, you must agree to a non-discrimination standard, maintain a valid business license and comply with all of the program's reimbursement terms.
7. Mail copies of all your forms to your local Medicare carrier. It can take up to seven weeks to process your application.
