reassignment of benefits

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How to Reassign Benefits for a Physical Therapist that is Already Contracted with Medicare

Table of Contents

Accessing the pecos system, managing business enrollments, adding reassignment of benefits, entering required information, completing the submission, finalizing the process.

To begin the Medicare reassignment process, you first need to access the PECOS system. PECOS stands for Provider Enrollment, Chain, and Ownership System , and it's essential for managing Medicare enrollment and reassignment. Follow these steps to log in:

• Navigate to the PECOS Website: Open your web browser and go to the official PECOS login page .
• Log In: Enter your PECOS username and password. If you do not have an account, you will need to create one by following the registration process on the PECOS website.
• Access 'My Associates': Once logged in, locate and click on the ' My Associates ' link. This section allows you to manage information related to your associates and staff.
• Select 'View Enrollments': In the 'My Associates' section, find and click on the 'View Enrollments' option. This will display a list of your current business enrollments and individual roles.

After completing these steps, you will be ready to manage your business enrollments and proceed with the reassignment process.

Once you have successfully logged into the PECOS system, the next step is to manage your business enrollments. This is crucial for adding or updating reassignments. Follow these steps:

• Locate 'View Manage Reassignments': In your PECOS account, navigate to the section where your business enrollments are listed. Look for the option labeled 'View Manage Reassignments'.
• Select Your Business: Click on your business name to access the reassignment options. This will take you to a page where you can manage reassignments for your business.
• Click on 'Manage Reassignments': On the business page, find and click the 'Manage Reassignments' button. This action will direct you to a section where you can add or update reassignments for your employees.

Completing these steps will prepare you to add a new reassignment of benefits for a therapist or update existing ones. It's important to ensure that your business details are up-to-date in this section.

After accessing your business enrollments, the next step is to add a reassignment of benefits. This is essential when a new therapist is hired and needs to be linked to your practice for Medicare billing. Follow these instructions:

• Initiate Reassignment Addition: Within the 'Manage Reassignments' section, look for an option to 'Add Reassignment of Benefits'. This is for cases where an individual is reassigning their Medicare benefits to your group or organization.
• Choose the Correct Option: Upon clicking 'Add Reassignment of Benefits', you will be presented with a few options. Select 'No, I only need to make reassignment updates' if you are only updating or adding new reassignments.
• Start the Application: After making your selection, click on 'Start the Application'. This will lead you to the form where you can enter the details of the new reassignment.

This step is crucial for ensuring that the new therapist's services are properly billed under your practice's Medicare provider number. Make sure all the information entered is accurate to avoid any delays in the reassignment process.

Once you start the application for adding a reassignment of benefits, you will need to enter specific information about the individual being hired. This information is critical for correctly processing the reassignment. Follow these steps:

• Personal and Professional Details: Enter the effective date of reassignment, the first and last name of the individual, their Social Security Number, and date of birth.
• Enter the NPI Number: Provide the National Provider Identifier (NPI) for the person you are hiring. The NPI is a unique identification number for covered health care providers.
• Select the Provider Type: For physical therapists, occupational therapists, and speech-language pathologists, choose 'non-physician' as the provider type.

Ensure that all the information provided is accurate and up-to-date. Any errors or omissions can lead to delays in the reassignment process. Double-check all entries before proceeding to the next step.

After entering all the required information for the reassignment, the next step is to complete the submission process. This involves a few final actions to ensure the application is correctly submitted. Follow these steps:

• Review Entered Information: Before proceeding, review all the information you have entered to ensure accuracy. This includes checking personal details, NPI numbers, and provider types.
• Begin Submission: Once you have confirmed that all details are correct, click on 'Begin Submission'. This will take you to the final steps of the application process.
• Electronic Signature: The system will prompt you for an electronic signature. Enter your email address as requested. This action will trigger a notification to the individual you are establishing the reassignment with.
• Wait for Confirmation: The individual receiving the reassignment will need to accept and complete their part of the process, which includes providing their electronic signature. Once this is done, the submission is complete.

It's important to ensure that the electronic signatures are completed promptly to avoid any delays in processing the reassignment. After this step, the application will be processed by the system.

The last step in the Medicare reassignment process is the finalization stage. This occurs after the submission has been completed and the electronic signatures have been provided. Here's what to expect and do:

• Notification of Acceptance: After the individual you are reassigning to has provided their electronic signature, you will receive a notification indicating that the reassignment has been accepted.
• Application Processing: The PECOS system will then process the application. This may take some time, so be patient. You can check the status of the application within the PECOS system.
• Confirmation of Reassignment: Once the application is processed and approved, the reassignment of benefits is officially in effect. You will receive a confirmation, and the individual's Medicare billing privileges will be linked to your practice.

It's important to monitor the process and be aware of any additional information or action that may be required. Keeping track of the application status will help ensure a smooth completion of the reassignment process.

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https://pecos.cms.hhs.gov/pecos/login.do

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Anthony Maritato

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