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2012 Enrollment Application Fee for Institutional Providers

January 5, 2012 – The CMS Enrollment Application fee for institutional providers for 2012 is $525.00, up from $505.00 in 2011.

CMS has defined “institutional provider” to mean any provider or supplier that submits a paper Medicare enrollment application using CMS-855A, CMS-855B (except physician and non-physician practitioner organizations), or CMS-855S forms or associated Internet-based PECOS enrollment application
 
The application fee is adjusted in each year based on the percentage change in the Consumer Priced Index – All Urban Consumers (CPI-U) and will apply to institutional providers that are: 

  1. initially enrolling in Medicare
  2. adding a new practice location
  3. revalidating their enrollment information 

Our clients who may have to pay an application fee when changing or updating their Medicare enrollment are ambulatory surgical centers (ASCs), independent diagnostic testing facilities, mammography centers, portable x-ray suppliers, radiation therapy centers and independent clinical laboratories.
 
More information relating to provider screening, application fees and payment, hardship exceptions and moratoriums on enrollment can be found by clicking below.

MLN Article SE1130

Tags: Provider Enrollment

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