Module 29
In this lesson, you’ll learn the detailed steps required for Medicare credentialing as a skilled home health care agency. The process begins with ensuring you meet state licensure requirements, followed by registering for a National Provider Identifier (NPI). You’ll then explore the Medicare enrollment process via the PECOS system and the role of Medicare Administrative Contractors (MACs) in coordinating your credentialing.
The lesson emphasizes the importance of maintaining a cash reserve, which varies by state, to cover operational costs during the credentialing process, as Medicare payments can be delayed. You’ll also learn about the accreditation survey, which must be completed before final Medicare approval, and how CMS reviews your application, state compliance, and accreditation before issuing a Medicare number. By the end, you’ll understand the timeline of the credentialing process—typically 9 to 18 months—and the ongoing requirements, such as re-credentialing every 2 to 3 years and submitting annual cost reports to maintain compliance.
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