Services
Medicare & Medicaid Provider Enrollment Services
PECOS and state Medicaid enrollment prepared carefully, submitted once your file is complete, and revalidations tracked so your billing privileges stay active.
Medicare does not care that you did not get the letter. Enrollment and revalidation run on firm rules and unforgiving forms: an NPPES record that does not match your PECOS application, a reassignment filed to the wrong group, a revalidation that lapsed during a busy quarter. Each one can stop your Medicare revenue.
We handle the whole government-payer stack for you: NPI, PECOS and the CMS-855 applications, state Medicaid and managed care, and the revalidation calendar afterward. You send us what we ask for. We do the rest, and we keep you updated on where things stand.
Who this is for
- Physicians, nurse practitioners and physician assistants enrolling in Medicare for the first time or joining a new group
- Group practices and clinics adding clinicians, opening locations or enrolling a new entity
- Behavioral health practices, including LCSWs, LPCs, LMHCs and MFTs, now that counselors and therapists can bill Medicare
- Home health agencies, hospices and other facilities working through CMS-855A enrollment
- Texas practices that need Medicare, Texas Medicaid and managed care set up together
- Any practice with a revalidation coming due, a deactivation to fix or records that no longer match
What we handle
- PECOS: Identity and Access setup, connections between individuals and groups, and online applications
- CMS-855A, 855B, 855I and 855O: the right form for each provider and entity. Reassignments formerly filed on the CMS-855R are now handled on the 855I, and we take care of them
- NPPES and NPI: Type 1 and Type 2 NPIs, taxonomy, address and name corrections
- Revalidation: due date tracking, record cleanup and filing in your window
- Reassignment: adding, changing and terminating reassignments as clinicians join and leave
- TMHP and Texas Medicaid: PEMS enrollment, revalidation and maintenance, plus Medicaid in other states
- MCO enrollment: managed care plan enrollment after your state Medicaid record is active
- Deactivation help: working out why billing privileges stopped and preparing what is needed to reactivate
How we work
Records check
We review your NPPES data, existing Medicare and Medicaid enrollments, reassignments and revalidation dates before touching anything. Many enrollment problems start with stale records.
Written scope
You get a clear list of what we will file, for whom, and what we need from you, plus a written quote before anything is committed.
Prepare and submit
We prepare every application and submit once your file is complete, with supporting documents attached, so it does not bounce back for something missing.
Follow-up and regular updates
We follow up with the Medicare contractor and state agency on a set schedule, answer requests for more information and keep you updated until it closes.
Deadlines on our calendar
Your revalidation dates go on our tracking calendar, not a sticky note, and we start each cycle once the due date posts.
What you need to send us
Exact requirements depend on your provider type and state, and we send a tailored list at kickoff. Most practices should expect us to ask for:
- State license(s) and any board or specialty certifications
- NPI numbers, or the details we need to request them
- Practice location addresses, including telehealth and home office details where they apply
- Your group or entity details: legal name, tax ID documentation and ownership information
- Banking information for electronic payments
- Malpractice coverage and, for facilities, accreditation or survey documents
- Login access or delegation where we will work in PECOS or PEMS on your behalf
- A practice contact who can sign when signatures are needed
Guides to read first
- CMS-855 form guide: which Medicare enrollment form applies to you
- CMS-855I Explained: Medicare Enrollment for Individual Providers: what the CMS-855I is, who files it, how it links to your NPI and your group, and the common mistakes that send applications back.
- Medicare Revalidation: How It Works and How to Avoid a Deactivation: how the revalidation cycle works, how to find your due date, when not to file, and the mistakes that lead to deactivated billing privileges.
- CMS-855R and Reassignment of Benefits: What Changed and What to File Now: the 855R has been discontinued. How reassignment of benefits works now on the CMS-855I, who signs, and what trips groups up.
- Medicare Enrollment for Behavioral Health: LCSWs, LPCs, LMHCs and MFTs: who qualifies to bill Medicare among LCSWs, LPCs, LMHCs and MFTs, how enrollment works, and the issues that slow therapists down.
- Why Medicare Enrollment Applications Get Rejected (and How to Avoid It): rejection versus denial, the most common reasons Medicare sends applications back, and how to avoid having to start over.
- Texas Medicaid enrollment guide: the TMHP process end to end
- TMHP PEMS walkthrough: enrolling and revalidating in PEMS
Pricing is quoted per practice, since payers, providers and states drive it, and your exact quote goes in writing before you commit. Get a quote →
Who this is for
Built for these practice types
The rules change by license type and by entity. These pages carry the specifics: what your payers verify, which applications actually apply to you, and how long it really takes.
Provider types
By facility type
Home Health Agencies
The licence is the beginning. Medicare certification is the business.
Learn more →Hospice Agencies
Texas is one of four states where a new hospice gets extra scrutiny by default.
Learn more →Skilled Nursing
No accrediting organisation can certify you. The state survey is the only door.
Learn more →FQHCs & RHCs
You are paid per encounter, not per code. Everything else follows from that.
Learn more →Surgery Centers (ASC)
An ASC is a supplier, not a provider. Everything downstream follows from that.
Learn more →Common questions
What happens if I miss a Medicare revalidation?
What's the difference between NPPES, PECOS, and CAQH?
Can you enroll my group as well as me individually?
Do you handle Medicaid outside Texas?
How long will my Medicare enrollment take?
Do you still use the CMS-855R for reassignments?
Can therapists like LPCs and MFTs enroll in Medicare?
How much does it cost?
Talk it through with a specialist.
Free 20-minute consult about your providers, your payers and your enrollment scope.