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Cms 100 Form

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Instructions and help about cms 100 application

hi everyone welcome and thanks for joining me today my name is Tom Ryan with provider Outreach and education at WPS government Health administrators I'll be your presenter for this video today I'd like to cover facilities enrolling with the CMS form 855a this is a provider enrollment form this is the first video for completing section two the video covers how to determine which items to complete in section two section one which begins on page six identifies which other sections of the application to complete on page six under item a there are a variety of actions to complete read through the information in the left column and check the box in front of the action you want to complete read the information in this column Associated to the item that you selected this will indicate which sections you have to complete and any items in that section it may indicate an entire section or a specific item if you need to change the provider enrollment record you'll choose op

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