CMS 855A Medicare

Application(Medicare Accreditation)
CMS 855A Medicare Application made easy. Let
us complete your CMS 855A Medicare
Application and CHAP Medicare Accreditation.
http://www.cmsmedicareapplication.com/medi
care-accreditation.html

Medicare Accreditation and

Home Health Care
Accreditation
If you are a licensed Home Health Care
Agency or looking to start a Home
Health Care Agency, we can help. It is
important to know that as a licensed
Home Health Care agency you are
limited to private pay unless you seek
Home Health Care Accreditation or
Medicare Accreditation for your Home
Health Care Agency. Without Home
Health Care Accreditation or Medicare
Accreditation, your client base will be
limited. Although there are many
opportunities for private pay clients,
Home Health Care Accreditation and
Medicare Accreditation will afford you
further opportunity to broaden your
client base and generate higher profit
margins.
For more information please go to
www.cmsmedicareapplication.com

Medicare Accreditation
Medicare Accreditation is required if you are
looking to take part in the Medicare program
and bill medicare. Medicare Accreditation
will also allow you to bill insurance
companies as well as take part in your states
Medicaid programs. You will want to contact
your state to see what Medicaid programs
are available and what is required as this is a
state program (Medicare & Medicare
Accreditation is Federal). You will start by
submissing your CMS 855 A Medicare
Application. You will then need to choose
which Accrediting body you would like to
take you through the Medicare Accreditation
process. Medicare Accreditation is a difficult
process, but you are not alone. Call 21st
Century Health Care Consultants today for a
no cost consultation. We will describe in full
detail the Medicare Accreditation process.
We provide all of the required Policies and
Procedures and documents for your Home
Health Care Agency. Ask our long list of
refering clients about our Medicare
Accreditation program. We will take your
Home Health Care Agency through Medicare
Accreditation and provide you and your
employees free lifetime training. Medicare
Accreditation does not have to be difficult,
call us today.

Home Health Care

Accreditation
Private Duty Home Health Care
Accreditation is an alternative to moving
forward with Medicare Accreditation.
Private Duty Home Health Care
Accreditation, like Medicare
Accreditation, will allow you to bill
insurance companies and take part in
state provided Medicaid Programs, but
will not allow you to bill Medicare.
Medicare Accreditation is the only way to
bill Medicare. You may be wondering why
you would want to go through Private
Duty Home Health Care Accreditation. In
some states, Medicare Accreditation
Applications are not being accepted at
this time, making Private Duty Home
Health Care Accreditation your only
available option. Medicare Accreditation
requires capatilization as well, and for
this reason, many Home Health Care
Agencies choose to move forward with
Private Duty Home Health Care
Accreditation. Contact 21st Century
Health Care Consultants today. We will
explaing the entire process and our
complete Home Health Care
Accreditation and Home Health Care
Business Startup Program.

Medicare Accreditation and

Private Duty Home Health
Care Accreditation |
Accrediting Bodies
In order to bill Medicare, Medicaid or
Private Insurance Companies, your
Home Health Care Agency will need to
seek Medicare Accreditation or Private
Duty Home Health Care Accreditation
(without Medicare). In order to do
this, you will need to be surveyed for
Medicare Accreditation or Home
Health Care Accreditation by one of
the Accrediting Bodies. You will want
to use one of the recognized
Accrediting Bodies, they are CHAP
Community Health Accreditation
Program, ACHC(Accreditation
Commission for Health Care) and
JCAHO (Joint Commission on
Accreditation of Healthcare
Organizations). Contact us today for a
no cost consultation. We are not a
franchise, we are Home Health Care
Licensing and Accreditation
Consultants.

Enrolling in Medicare

Selecting in Medicare Accreditation is a

simple and basic procedure. On the off
chance that an individual normally makes
Social Security or Medicare installments or
commitments, he or she is consequently met
all requirements for Medicare scope for
hospitalization when he or she achieves the
age of 65. In view of his or her past
commitments, this hospitalization profit
picked up from selecting in Medicare is of no
expense to him or her. Notwithstanding, if
not, an individual will need to request a
Medicare enrollment, and may need to pay a
certain charge, contingent upon any past
records of commitments made.
There is additionally an alternate profit under
Medicare which individuals may request. This
is the particular case that covers specialist
and outpatient administrations. This scope
however, obliges a month to month or yearly
premium. For the individuals who are utilized
and are enlisted under the organization's
wellbeing protection supplier, they don't
have to request this Medicare scope, since
they are now secured by their organization's
supplier.
www.cmsmedicareapplication.com

CMS 855A Medicare

Application
Before any Home Health Care Agency is
allowed to bill Medicare it must be
Medicare Certified by the Center for
Medicare & Medicaid Services (CMS) and
Medicare Accredited by one of 3
Accrediting Bodies medicareToday, the
great majority of home health care
agencies obtained Medicare Certification
by undergoing Medicare Accreditation
with one of the three major Medicare
Accrediting Bodies: the Community
Health Accreditation Program (CHAP),
The Joint Commission (JTC) (formerly
known as the Joint Commission on
Accreditation of Health Care
Organizations or JCAHO) or
Accreditation Commission for Health
Care, Inc (ACHC)

The first two steps in obtaining Medicare

Accreditation are for a home health
agency to submit a Medicare Application
to its Fiscal Intermediary and to apply to
an Accrediting Body to enroll in its
Medicare Accreditation process.
www.cmsmedicareapplication.com

Medicare Reimbursement
The Balanced Budget Act of 1997 called
for the implementation of a payment
system (Medicare Reimbursement ) for
Medicare Home Health Care Agency
services. This section contains useful
information for understanding and
implementing the prospective payment
system (Medicare Reimbursement ) for
Home Health Care Agencies.
Medicare will pay Home Health Care
Agencies a predetermined base payment
or Medicare Reimbursement. The
Medicare Reimbursement is adjusted for
the health condition and care needs of
the beneficiary. The Medicare
Reimbursement is also adjusted for
geographic differences in wages for Home
Health Care Agencies across the United
States. Medicare Reimbursement
adjustment for the conditions or
characteristics and services of the patient
is known as the case mix adjustment.

Medicare Reimbursement
for the 60-day Episode
The unit of Medicare Reimbursement
under HHA PPS will be for a 60-day
episode of care. The Home Health Care
Agency will receive half of the estimated
base Medicare Reimbursement for the
full 60 days as soon as the fiscal
intermediary receives the initial claim.
This estimate is based upon the
beneficiaries condition and care needs.
The Home Health Care Agency will
receive the residual half of the Medicare
Reimbursement at the close of the 60-day
episode unless there is an applicable
adjustment to that amount. The full
payment is the sum of the initial and
residual percentage Medciare
Reimbursement unless there are
Medicare Reimbursement adjustments.
This approach provides balanced cash
flow for Home Health Care Agency.
Another 60-day episode can be initiated
for longer-stay beneficiaries.

Case Mix Adjustment:

Adjusting Medicare
Reimbursement for a Patients
Condition and Needs
After a physician prescribes a home
health plan of care, the Home Health
Care Agency assesses the beneficiaries
condition and likely skilled nursing care,
therapy, medical social services and home
health aide service needs at the
beginning of the episode. The assessment
must be done for each subsequent
episode of care a beneficiary receives. A
nurse or therapist from the Home Health
Care Agency uses the Outcome and
Assessment Information Set instrument,
also known as OASIS, to assess your
patients condition. OASIS items
describing the patient's condition are
used to determine the case mix
adjustment to the Medicare
Reimbursement rate. Eighty case mix
groups are available for patient
classification to determine Medicare
Reimbursement to your Home Health
Care Agency.

Outlier Payments/Medicare
Reimbursement : Paying
More for the Care of the
Costliest Beneficiaries
Additional Medicare Reimbursments
will be made in addition to the 60-day
case-mix adjusted episode Medicare
Reimbursments for patients who incur
large costs. These Medicare
Reimbursement payments will be
made for episodes whose cost exceeds
a threshold amount for each case mix
group. The amount of the Medicare
Reimbursement will be a proportion of
the costs beyond the threshold.
Outlier costs will be imputed for each
episode by applying standard per visit
amounts to the number of visits by
discipline reported on the claim. Total
national outlier payments/Medicare
Reimbursement for Home Health Care
Agency services annually, will be no
more than 5% of estimated total
Medicare Reimbursement payments
under home health PPS.

CMS 855 A Medicare

Application: The Medicare
System
The CMS (Center for Medicare Services)
brought about a historical change in
home care in 2000 when they introduced
OASIS ( Outcomes and Assessment
Information Set). This OASIS document
has given us the opportunity to do the
right thing for our patients. We use it to
assess the condition of this whole person.
We can then treat this whole person
because we know all of his systems, all of
his needs, all of his comorbidities that
may affect his healing. We no longer treat
one symptom. Oasis helps us to be aware
of how we make a difference.
Oasis shows the nation in Home Health
Compare on the internet how we have
helped patients have less pain, have less
shortness of breath, can be more
independent with medications, heal
wounds, and stay out of the hospital.
Oasis shows Medicare the condition of
our patient so they can use the payment
system to provide us with a budget to
take care of our patient.
www.cmsmedicareapplication.com/

What is Medicare?
The Medicare Program is administered
by the federal government of the
United States of America. Medicare
guarantees access to health insurance
for Americans ages 65 and older as
well as Americans disabled for longer
than 2 years. In 1965, Congress
created Medicare to provide health
insurance to these individuals,
regardless of income or medical
history. In 1972, Congress expanded
Medicare eligibility to include any
American that has suffered permanent
disability and receive Social Security
Disability Insurance (SSDI) payments as
well as those who have end-stage
renal disease (ESRD). In 2001 the
program was extended to cover any
American with ALS (Lou Gehrigs
disease).

CMS 855 A Medicare

Application Medicare
Enrollment Process
1. We submit the current version of the CMS 855
A Medicare Application. If you are looking to
obtain the CMS 855 A Medicare Application, an
electronic copy of the current CMS 855 A
Medicare Application can be found at Click here
for the CMS 855 A Medicare Application
2. We submit the correct CMS 855 A Medicare
Application for your provider or supplier type to
the Medicare fee-for-service contractor servicing
your State or location. The Medicare contractor
that serves your State or Home Health Care
Agency location is responsible for the processing
of the CMS 855 A Medicare Application. Click
here for the CMS 855 A Medicare Application
Processor Detail
3. Assist you with your CMS 855 A Application?
We do much more than just assist you with the
completion & submission of your CMS 855 A
Medicare Application. If you are enrolled in
Medicare, but have not submitted the CMS 855
Medicare Application since 2003, you are
required to submit a complete CMS 855 A
Medicare Application. Providers and suppliers
should follow the instructions for completing an
initial CMS 855 A Medicare Application. When
completing the CMS 855 A Medicare Application
for the first time, each section of the CMS 855 A
Medicare Application must be completed. When
reporting a change to your CMS 855 A Medicare
Application, complete each section listed in
Section 1B of Medicare Application CMS 855 A.

About Us
21st Century Health Care Consultants
have 100's of references from
individuals just like you. Existing Home
Health Care Agencies aand individuals
looking to open a new Home Health
Care Agency can rely of 21st Century
Health Care Consultants. We are the
premier Health Care Consultants,
assuring we will get your Agency's
Home Health Care License and
Medicare Accreditation as fast as your
state allows.
We are not your ordinary Health Care
Consultants. 21st Century Health Care
Consultants offer a specialized lifetime
offering. Best of all, there are no
franchise fees or hidden costs. We are
Health Care Consultants, not a
Franchise Company.

Contant Us
If you are looking to open a Home Care
Agency (Personal Care or Companion
Care Agency) or Home Health Care
Agency (Skilled Nursing, PT, OT, ST, Social
Work), let 21st Century Health Care
Consultants get you started. Whether its
just an idea, or you have an existing
Home Health Care Agency you are looking
to get Medicare or Private Duty
Accredited, 21st Century Health Care
Consultants can help.
21st Century Health Care Consultants
have 20 full time employees, each
specializing in a related field, ready to
answer all of your questions. Be sure to
ask 21st Century Health Care Consultants
about their lifetime training seminars and
home health care consultation. Call 21st
Century Health Care Consultants for a
free consultations and overview of the
Home Health Care Agency Startup
process.

Call for a Free No Obligation Consultation, so we may provide you with

the information you need to open your own agency!
1-888-850-6932

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