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The Medical Management Institute www.mmiclasses.com 3330 Preston Ridge Rd, Ste 380 Alpharetta, GA 30005 pH: 8668922765 Fax: 6786692483ICD10CM Enrollment Form Training Arthrogram Preprogram + Anatomy

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How to fill out icd-10-cm enrollment form

01

Step 1: Start by downloading the ICD-10-CM enrollment form from the official website.

02

Step 2: Provide your personal information such as name, address, contact number, and email address.

03

Step 3: Specify your professional details such as your specialty, medical license number, and practice name.

04

Step 4: Fill out the sections related to your billing and coding services, including the services you offer, the volume of patients you handle, and the types of insurance you accept.

05

Step 5: Complete the section regarding your understanding of ICD-10-CM codes and your commitment to accurate coding and documentation.

06

Step 6: Sign and date the form to certify the provided information is accurate and truthful.

07

Step 7: Submit the completed form along with any necessary supporting documents to the designated authority.

Who needs icd-10-cm enrollment form?

01

Medical professionals who bill for services using ICD-10-CM codes need to fill out the ICD-10-CM enrollment form.

02

This includes physicians, nurses, therapists, coders, and any other healthcare providers involved in the billing and coding process.

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What is icd-10-cm enrollment form?

ICD-10-CM enrollment form is a document used to register healthcare providers and practitioners with the necessary codes for medical diagnoses and procedures.

Who is required to file icd-10-cm enrollment form?

Healthcare providers, practitioners, and organizations that need to report medical diagnoses and procedures using ICD-10-CM codes are required to file the enrollment form.

How to fill out icd-10-cm enrollment form?

The ICD-10-CM enrollment form can be filled out online or through a paper application provided by the relevant healthcare authority. It requires basic information about the provider or organization, including contact details and practice information.

What is the purpose of icd-10-cm enrollment form?

The purpose of the ICD-10-CM enrollment form is to ensure that healthcare providers and practitioners have the necessary codes to accurately report medical diagnoses and procedures.

What information must be reported on icd-10-cm enrollment form?

The ICD-10-CM enrollment form requires information such as provider name, address, contact details, practice specialty, and organization type.

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