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Este formulario actualiza el Capítulo 48, Declaración de Costos de Oficina Central, Forma CMS-287-22, para clarificar las instrucciones efectivas para los períodos de reporte de costos a partir del 1 de noviembre de 2024. Este capítulo presenta la declaración de costos de oficina central completada por una oficina central y/o una organización de cadena para apoyar los costos reclamados en un informe de costos de Medicare.
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01
Obtain the CMS-287-22 form from the official CMS website or authorized source.
02
Fill in the provider information, including name, address, and National Provider Identifier (NPI).
03
Enter patient details, including name, date of birth, and Medicare number.
04
Complete the section related to services provided, specifying the date of service and description of procedures performed.
05
Indicate the diagnosis codes relevant to the services being billed.
06
Confirm that all information is accurate and double-check for completeness.
07
Sign and date the form as required.
08
Submit the completed form to the appropriate Medicare administrative contractor.

Who needs form cms-287-22?

01
Healthcare providers who are billing for services provided to Medicare beneficiaries need form CMS-287-22.
02
Organizations that require reimbursement for healthcare services and wish to submit claims through Medicare.
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Form CMS-287-22 is a Medicare enrollment application that providers use to apply for enrollment in the Medicare program, allowing them to bill Medicare for services rendered.
Healthcare providers, including individual practitioners and organizations, who wish to enroll in the Medicare program must file Form CMS-287-22.
To fill out Form CMS-287-22, applicants need to provide accurate information regarding their practice, including personal details, business information, and any required documentation, ensuring compliance with Medicare regulations.
The purpose of Form CMS-287-22 is to formalize the enrollment process for Medicare providers and collect necessary information for processing their Medicare claims.
The information that must be reported on Form CMS-287-22 includes the applicant's name, address, tax identification number, National Provider Identifier (NPI), and details about their practice and services.
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