Get the free CMS-854 — CONTINUATION FORM - cms

This form is used for detailing the medical necessity of equipment and supplies for patients, requiring attestation from a physician.

How to fill out cms-854 continuation form

How to fill out CMS-854 — CONTINUATION FORM

1. Obtain the CMS-854 form from the official CMS website or your local Medicare office.
2. Read the instructions provided on the form carefully to understand the requirements.
3. Fill in your personal information in the appropriate fields, including your name, contact information, and Medicare number.
4. Provide details about the services or items for which you are requesting continuation.
5. Include any relevant dates, such as the start date of your previous Medicare coverage.
6. Ensure all required signatures are included where necessary.
7. Review the completed form for accuracy and completeness.
8. Submit the form as instructed, either by mail or electronically, following the submission guidelines provided.

Who needs CMS-854 — CONTINUATION FORM?

1. Individuals who wish to continue their current Medicare coverage or benefits.
2. Providers and suppliers who need to request continuation of their enrollment status.
3. Beneficiaries who are undergoing changes in their healthcare services and require continued support.

For pdfFiller’s FAQs

What is CMS-854 — CONTINUATION FORM?

The CMS-854 is a form used by providers and suppliers to report information related to their enrollment in the Medicare program, specifically to continue their enrollment status.

Who is required to file CMS-854 — CONTINUATION FORM?

Providers and suppliers who wish to maintain their enrollment status in the Medicare program and have submitted certain changes or updates that require notification need to file the CMS-854.

How to fill out CMS-854 — CONTINUATION FORM?

To fill out the CMS-854, follow the instructions provided on the form, filling in your personal details, any relevant changes, and ensuring that all required fields are completed accurately before submission.

What is the purpose of CMS-854 — CONTINUATION FORM?

The purpose of CMS-854 is to provide the Centers for Medicare & Medicaid Services (CMS) with updated information regarding the provider or supplier's enrollment status, thereby ensuring compliance with regulatory requirements.

What information must be reported on CMS-854 — CONTINUATION FORM?

Information that must be reported on the CMS-854 includes the provider's or supplier's legal business name, Medicare enrollment number, changes in practice location, and any changes in ownership or control.