Pennsylvania physicians and practices should be aware that, effective Jan. 1, 2017, physicians and non-physician practitioners must use the revised 4/16 version of the CMS-885R (Reassignment of Benefits) application. The revised 04/16 version makes the primary practice location section optional.
Get the 4/16 version of CMS-885R here.
Novitas Solutions will no longer accept the 11/12 version of the CMS-885R application. If you submit the old 11/12 version, Novitas will ask you to complete and submit the new version. Using the correct form will help you avoid processing delays.
When to Use CMS-885R
According to the Centers for Medicare and Medicaid Services (CMS), you should complete a CMS-885R application if you:
- Are reassigning your right to bill the Medicare program and receive Medicare payments for some or all of the services you render to Medicare beneficiaries, or;
- Are terminating a currently established reassignment of benefits.
Reassigning your Medicare benefits allows an eligible organization/group to submit claims and receive payment for Medicare Part B services that you have provided as a member of the organization/group. An eligible organization/group may be an individual, a clinic/group practice, or other health care organization.
Access the form for additional details and completion instructions.