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Healthcare
Health Care Experience

Tasha Bomar

HCS35

December 6, 2012
Cassandra M. Wineglass

The Health Care Industry continues to grow daily and provide benefits for those who are

in need of employment or just want to be educated on the topic there of. With the world and the

fast paste we live in it is extremely important to find your area of need and focus. My area of

focus just so happens to be Health Care Information. For this week’s assignment, I targeted the

area of Medicare Part B. This area of operation was created to enroll institutional providers that

wish to bill for services offered by Medicare. Here we find the review and processesing of the

the CMS 855 B. There are several providers that are allowed to complete this application.

Ambulance Service Supplier, Ambulatory Surgical Center, Clinic/Group Practice, Independent

Clinical Laboratory, Independent Diagnostic Testing Facility(IDTF), Intensive Cardiac

Rehabilitation Supplier, Mammography Center, Mass Immunization (Roster Billing Only), Part

B Drug Vendor, Portable X-Ray Supplier, and Radiation Therapy Center are just to name a few.

Extensive training is given to ensure that you learn the different types of applications needed to

enroll Institutional Providers. Physicians and Non-Physician Practitioners are processed with the

application called the CMS 855 I & R. These applications are set in place for a provider to

complete and ensure Medicare approval. The applications are either given what is called a

Provider / Medicare Identification Number, or make recommendations for approval. In addition

To reviewing the application, CMS has set in place provider standards that must be adhered

to. There are 30 set in place, but I will only name a few. These standards can be viewed by

anyone at http://www.hqaa.org/docs/30supplierstandardsabv.pdf. “A supplier must be in

compliance with all



References: http://cciio.cms.gov/ http://www.cms.hhs.gov/ http://exclusions.oig.hhs.gov/ www.healthcare.gov http://www.hqaa.org/docs/30supplierstandardsabv.pdf. https://www.sam.gov/portal/public/SAM/

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