What you need before you start
•Eligibility requirements
•Print Registration User Guide •NPI Number
•NPPES web user account, user ID, password •PECOS number
•Social Security number/ Tax ID number/ EIN
Pre-registration steps
1. Obtain an NPI (National Provider Identifier) number. 2. Register online with the National Plan and Provider
Pre-registration steps
3. Register as a Medicare provider (Can be done through hard copy or PECOS online)
Medicare Enrollment Application (Form CMS-855) Medicare Participating Physician Agreement
(Form CMS-460)
Pre-registration steps
4. Mail Medicare registration to:
Palmetto
Part B Provider Enrollment P.O. Box 182933
Columbus, OH 43218-2933 Phone: 866-308-5439
Registration user guide
Print out the appropriate guide.
Medicare Registration Guide for Eligible Professionals Medicaid Registration Guide for Eligible Professionals Medicare & Medicaid Registration Guide for Hospitals
13 Steps to EHR Registration
1. Getting started 2. Login instructions 3. Welcome
4. Registration instructions 5. Reason for registration 6. Incentive questionnaire 7. Personal information
8. Business information 9. Topics for registration 10. Verify registration
11. Registration disclaimer 12. Submission: successful, unsuccessful
Step 1 : Getting started
Verify if you are eligible for Medicare by checking this
EHR Financial Incentive Fact Sheet on OHIP’s Physician & Provider page.
You also can go to the Centers for Medicare and
Medicaid Services (CMS) EHR Incentive Program at
Step 2: Login instructions
Go to https://ehrincentives.cms.gov to begin the registration process.
Enter your National Plan and Provider Enumeration System (NPPES) web user account, user ID and
Step 3: Welcome
Click on the Registration Tab on this page: Register
Finish registration Modify
Step 4: Registration
instructions
Enter your name, tax ID, National Provider
Step 5: Reason for
registration
You are:
Registering
Modifying registration Can work by section:
Step 6: Incentive
questionnaire
Step 7: Personal
information
Verify Social Security information, National Provider Identification Number and Payee TIN type.
This is the process for reassignment
Reassignment must be to an employer/
contractor already linked in the PECOS system to that provider’s account
Step 8: Business information
Enter your business address, phone, email. Your
business address needs a zip code plus 4 digits, and you may not enter a P.O. box.
Data is pre-populated from the NPPES system. If you make changes to address and phone, the
information does not go back to NPPES.
Step 9: Topics for
registration
Step 10: Verify
registration
Step 11: Registration
disclaimer
Read agreement and check “agree” or “disagree” Anti-fraud statement
Disclosures voluntary
Step 12: Submission
receipt
Submission rejection
If submission is unsuccessful, you will be alerted about why you’ve been rejected and given resources.
Name/information in death master file NPI status is deactivated
Enrollment in PECOS/Medicare not approved yet Office of Inspector General (OIG) Exclusion in
PECOS
Physician a hospital-based professional
Step 13: Status page
summary
Eligibility requirements
• Determine your eligibility.
• For quick fact sheets, go to the physicians’ page on the OHIP home page and click on Eligible Professionals. If you’re eligible for both Medicare and Medicaid, you need to decide when you register, which one you want to choose.
• Before 2015, an eligible professional may switch programs only once after the first incentive payment is initiated.
• Most eligible professionals will maximize their incentive payments by participating in the Medicaid EHR Incentive Program.
NPPES numbers
• You need a National Plan and Provider Enumeration
System (NPPES) web user account, user ID and password.
• You can call, register online or email. The phone number is 800-465-320. Click here
• Or copy the address below
https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do to get an account.
• You also can email
PECOS numbers
• If you’re an eligible professional, you must have an
enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) in order to receive a
Medicare Electronic Health Record (EHR) incentive
payment.
• If you are a physician working in a group, you need your own individual number to receive the incentive
payment directly.
Appropriate SS/Tax ID, EIN
• Have your Social Security number ready to input as an individual for your Tax ID Number (TIN).
• If your group is to receive the payment, it goes to the Employer Identification Number (EIN).
• For more information, go to the IRS website or copy
