Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 24, 2016
To become a centralized biller, you must complete the entire enrollment process and get CMS Central Office's (CO) and the designated MAC’s participation approval. Apply early because enrolling as a centralized biller takes 8 to 12 weeks.
You must reapply to the CMS CO for approval each year by June 1. Approval for centralized billing is limited to the 12-month period from September 1 thru August 31 of the next year.
Contact the CMS CO in writing by June 1 of the year you plan to begin centralized billing. Send requests for enrollment or renewal as a centralized biller to Bridgitte Davis-Hawkins at the following address:
Required Information
Include all the information below in your written request:
- Estimate how many patients will get flu shots
- Estimate how many patients will get pneumococcal shots
- Approximate dates you will give the shots
- List of states where you will hold flu and pneumococcal shot clinics
- Type of services you generally deliver (for example, ambulance, home health, or visiting nurse)
- If you employ the nurses who will give the flu and pneumococcal shot or if you hire them specifically to give these shots
- Names and addresses of all entities operating under your application
- Contact information for the centralized billing program designated contact
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