Member Forum

Expand all | Collapse all

Medicare help

  • 1.  Medicare help

    Posted 06-01-2018 17:56
    We moved offices two months ago and our biller informed me we haven’t gotten any EFTs since our move date.

    We typically get eft deposits to our account with paper EOBS. We’ve gotten neither in two months.

    I tried to look online but it seems our PTAN is no longer valid. Our biller tried to sort it out but got frustrated and passed on to me.

    I haven’t had to deal with Medicare billing so I honestly have no idea where to start. Before I invest time in starting to figure out I figured I’d ask.

    Any specific tips or suggestions would be most welcome.

    Melissa Weakland, MD
    Ballard Neighborhood Doctors
    7701 15th Ave NW
    Seattle, WA 98117
    Phone: (206)-297-7678
    Fax: (206)-297-5930

  • 2.  RE: Medicare help

    Posted 06-02-2018 05:55
    The first place I would start would be to log into PECOS and and review your Medicare ID report (you can get there from Clicking My Associates from the home page then View Enrollments at the very end of the page, then Existing Enrollments at the bottom of the next page.
    You may find under the view your Medicare ID report that your new address is not active?  Possibly you will need to update some information here about the new address and an end date for your previous address?

    Renea Clark
    BlueSky Health
    Office Manager
    Howell MI

  • 3.  RE: Medicare help

    Posted 06-03-2018 09:18

    I just moved to a new practice location in May. I sent in this form by mail to my region's designated contractor, Novitas.

    MEdiCarE EnrollMEnt aPPliCation PhySiCianS and non-PhySiCian PraCtitionErS CMS-855i SEE PagE 1 to dEtErMinE if you arE CoMPlEting thE CorrECt aPPliCation.
    I received a confirmation letter last week that my address change was confirmed. I'm not sure why, but I was told I had to fill out and mail the form rather than make changes on the pecos website. Please note that you do not have to fill out the entire form, but only those designated for the changes you have to make, listed on page 4, section 1.

    Good Luck!

    Mona Abousleman

    Mona Abousleman, MD, PC

    Family Medicine

    4800 Hardware Dr NE, Unit A

    Albuquerque, NM 87109

    Phone 505 312-8551

    Fax 505 672-7917

  • 4.  RE: Medicare help

    Posted 06-06-2018 10:09
    Thanks everyone. I’ve got a plan of action. yet to be seen if it all goes through but hopefully.

    I logged onto PECOS and indeed its all about no change of address. and exactly, they won’t let the mail be forwarded and it triggers a hold on my account. I got through to a live person relatively quickly and was given clear specific information of how to correct.

    I have to fill out two forms to change my address and once it goes through I’ll get a lump sum of payment.
    So could be worse (hopefully won’t still be).

    All the help and suggestions were perfect.

  • 5.  RE: Medicare help

    Posted 06-06-2018 10:13
    I now get we have to log in every 60 days to keep it active. (true yes? )

    but I dont really understand what it’s for.

    Curious to know how others use the site. Im in some weird space of being oddly fascinated by the absurd complexity of it all.

  • 6.  RE: Medicare help

    Posted 06-02-2018 05:59
    I think Pecos is the place to start.  It's not very intuitive but they do have customer service reps you can call if you get stuck.

  • 7.  RE: Medicare help

    Posted 06-02-2018 22:17
    Hi Melissa,

    You may want to contact your area's Medicare Administrative Contractor (MAC).

    Contacts For Part B - Medicare Administrative Contractor (MAC - Part B) Alphabetical Index

    I think yours may be:

    Noridian Healthcare Solutions, LLC
    900 42nd Street S
    PO Box 6781
    Fargo, ND 58108-

    Milton (Moshe) Stern, M.D.
    Staten Island, New York
    He [Hillel] used to say: If I am not for myself, who is for me?
    And if I am only for myself, what am I?
    If not now when? (Avot 1:14)

  • 8.  RE: Medicare help

    Posted 06-03-2018 20:19
    Back in the dawn of time, my billing company advised me to have a 'permanent' address for MCR, because
    • they tell the PO NOT to forward anything, and
    • if they get anything returned with 'bad address' they put you in Limbo that's hard to get out of- (almost like making a new application.)

    I echo what others said- get on PECOS, make sure your address is correct there, ask the PO to hold your mail for pickup? , and get back w MCR to get back on the rolls.

    Peter Liepmann MD FAAFP MBA
    My mission is to fix US health care
    Glendale CA

  • 9.  RE: Medicare help

    Posted 06-08-2018 20:32
    Good luck.    Frankly it was a nightmare dealing with Medicare, Pecos, PTAN, etc. the two times I moved my office.  Who can keep,track of all those appreviations and passwords, etc.  it could have been 4-6 months in total without being paid by Medicare.

    I seem to recall you send in forms on paper and they dont notify you if you did it "incorrectly".  I suggest you keep calling once a week, each step of the way and confirm form was received, done correctly, hopefully not in a pile with other provider changes, ask what the next step is, etc.  Then keep calling every week.

    I also seem to recall that the first line person who answers the phone was often not very helpful and you can ask to speak with a supervisor.

    Both times, after several months of frustration, I ended up calling my US senator's office and made a complaint.   I really believe that was helpful.  I think there was a higher level supervisor (Super supervisor?)  who got involved and even gave me her phone number and at that point things moved along quickly.

    I feel for you.

    Michael S. MD