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 855a 2011

855a Change of Ownership 2011-2025 Form

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Instructions and help about medicare correct

Hi everyone. Welcome and thanks for joining  me today. My name is Thom 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 video contains instructions for completing section two  item G and explains what a change of ownership is. To begin this video, I'd like to define what a change of ownership or CHOW is. A CHOW is when one provider buys or leases another provider. We see this most commonly when one provider buys another provider. For that reason, I'll use buying provider and selling provider during this video. The buying provider assumes the existing Medicare information  from the selling provider. This includes: Medicare number, also known as the Provider Transaction Access Number or PTAN, [and] the CMS provider agreements. Both the buying and selling provider must complete this section. Buying

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