Medicare Enrollment

Illustration of a checklist on a clipboard with a pen.

Medicare provider enrollment is an essential administrative process for eligible healthcare providers and organizations that want to bill Original Medicare, receive payment for covered services, reassign Medicare benefits to a group practice, or maintain existing Medicare billing privileges.

At Helping Hands Credentialing, we assist individual clinicians, group practices, therapy providers, clinics, and eligible healthcare organizations with Medicare enrollment through the Provider Enrollment, Chain, and Ownership System, commonly known as PECOS.

Our Medicare enrollment services include initial applications, individual and group enrollment, provider-to-group reassignments, revalidations, practice-location updates, electronic funds transfer enrollment, ownership and managing-employee updates, Medicare Administrative Contractor requests, and ongoing PECOS maintenance.

We help determine which enrollment pathway applies to your provider type and organizational structure before an application is submitted. This is particularly important for speech-language pathology, occupational therapy, physical therapy, behavioral health, and multidisciplinary practices because private-practice enrollment and institutional-provider enrollment may follow different Medicare process

Medicare Enrollment Services We Support

Our Medicare provider enrollment assistance may include:

Initial Medicare enrollment
Individual practitioner enrollment
Group practice and clinic enrollment
Individual-to-group reassignment of benefits
Provider affiliation and reassignment updates
Medicare enrollment for private-practice therapy providers
Institutional-provider enrollment readiness
PECOS account and enrollment-record review
Medicare revalidations
Practice-location additions and terminations
Ownership and managing-employee updates
Authorized Official and access-role guidance
Electronic funds transfer enrollment and updates
Medicare participation-status guidance
NPI and NPPES record alignment
Medicare Administrative Contractor follow-up
Responses to requests for additional information
Deactivation and reactivation application support
Voluntary termination and withdrawal assistance
Post-approval enrollment-record review

Frequently Asked Questions

Please reach us at info@helpinghandstc.com if you cannot find an answer to your question.

Does the group and each individual provider need Medicare enrollment?

In many group-practice arrangements, yes.

The group may need an organizational Medicare enrollment, while each eligible rendering provider may need an individual enrollment and a reassignment connecting the provider to the group.

The correct structure depends on the provider type and billing arrangement.

What is the difference between CMS-855I and CMS-855B?

The CMS-855I is associated with individual physicians and eligible nonphysician practitioners.

The CMS-855B is associated with clinics, group practices, and certain other organizational suppliers.

A group-practice project may require both individual and organizational enrollment actions.

What is a Medicare reassignment of benefits?

A reassignment allows an eligible individual provider to authorize an enrolled group practice or other eligible organization to submit Medicare claims and receive Medicare payment for the provider’s covered services.

Can you guarantee Medicare approval?

No. Medicare enrollment decisions are made by CMS and the applicable Medicare Administrative Contractor.

Helping Hands provides administrative preparation, document review, application assistance, submission support, follow-up, and enrollment-maintenance services. We cannot guarantee approval, effective dates, billing privileges, reimbursement, or payment.

Need Help With Medicare Enrollment or PECOS?

Do not let an incorrect enrollment pathway, missing reassignment, outdated NPI record, PECOS access issue, or incomplete application delay your Medicare enrollment.

Helping Hands Credentialing can help you determine the appropriate enrollment structure, organize the required information, prepare your PECOS application, respond to Medicare Administrative Contractor requests, and review the enrollment record after approval.

Our Medicare enrollment services are available virtually for eligible healthcare providers and organizations nationwide.

Schedule a Consultation

Helping Hands Credentialing is an independent credentialing consulting firm and is not affiliated with or endorsed by the Florida Agency for Health Care Administration, The Joint Commission, CMS, or any insurance payer. Licensure, accreditation, enrollment, credentialing, and contracting decisions are made by the applicable regulatory agency, accrediting organization, government program, or payer. Consulting services do not guarantee approval and do not constitute legal advice.

Medicare Enrollment

Medicare Enrollment Services We Support

Frequently Asked Questions

Need Help With Medicare Enrollment or PECOS?

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