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Frequently Asked Questions Medicare Shared Savings ProgramContents General Questions ........................................................................................................................................
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How to fill out aco participant list

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How to fill out an ACO participant list:

01
Enter the name of the accountable care organization (ACO) at the top of the participant list form.
02
Provide the basic contact information of the ACO, such as address, phone number, and email.
03
Include the names of all the participating healthcare providers and organizations within the ACO.
04
Specify the role or entity type of each participant, such as hospital, physician group, skilled nursing facility, etc.
05
Indicate the National Provider Identifier (NPI) number for each participant to ensure accurate identification.
06
Include any additional details required by the ACO program or CMS guidelines.
07
Review the completed participant list for accuracy and completeness before submitting.

Who needs an ACO participant list?

01
ACO administrators: ACO participant list is essential for administrators to effectively manage and coordinate the healthcare services provided within the ACO. It helps them keep track of participating entities and maintain accurate records.
02
Healthcare providers: Participating healthcare providers within the ACO need the participant list to understand which organizations are part of the ACO and collaborate efficiently for improved patient care coordination and outcomes.
03
Payers: Insurance companies or payers may require the ACO participant list to validate the participating providers and ensure proper reimbursement for the services rendered within the ACO.
04
Regulatory bodies: Regulatory bodies, such as the Centers for Medicare and Medicaid Services (CMS), may request the ACO participant list for program evaluation, monitoring compliance, and assessing the eligibility of the ACO for different incentives or benefits.
05
Patients: While not directly needing the ACO participant list, patients benefit indirectly from it as it helps promote value-based coordinated care, allowing them access to a broader network of providers and enhanced care continuity.
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ACO participant list is a list of healthcare providers and suppliers participating in an Accountable Care Organization (ACO).
Healthcare providers and suppliers who are part of an ACO are required to file the ACO participant list.
The ACO participant list can be filled out electronically through the designated CMS portal with the required information for each participant.
The purpose of the ACO participant list is to track the healthcare providers and suppliers involved in an ACO for coordination of care and reporting purposes.
The ACO participant list must include the name, address, NPI number, and specialty of each healthcare provider and supplier participating in the ACO.
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