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 Usmepcom 680 2015-2025

Usmepcom 680 3a 2 2015-2025 Form

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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 video covers the basics of the form and how to locate it there are other forms that cover each section and how to complete them the first step in completing the form is to make sure that you have the right version of the form the most current version of the form is available on the CMS website to ensure you have the most current version review the date in the lower left corner make sure it says may of 2023 if you want to gather the form go ahead and use the info button in the upper right corner on the CMS website when the form opens it will have a cover page move down for page one during this video I'll reference different pages look in the lower right corner for the page

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