How to Complete the CMS-855I

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How to Complete the CMS-855I

Product Code: YMPDA061820A

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How to Complete the CMS-855I

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Presented Live Only on: Thursday, June 18, 2020 | 1–2 p.m. Eastern

Presented by: Sierra Farleman

NOTE: This program will not be available on-demand. All participants must watch the program live on the scheduled date and time.

Every provider enrollment professional knows that successful enrollment is key to ensuring that your organization is reimbursed by Medicare and the Centers for Medicare and Medicaid Services (CMS) for the care it provides. In order to enroll physicians and nonphysician practitioners with Medicare, the enrollment department must complete the CMS-855I form. Like all enrollment forms, the CMS-855I requires the utmost precision, and even a small error can seriously delay enrollment.

In this 60-minute webinar, Sierra Farleman from the Medicare Administrative Contractor (MAC) Novitas Solutions explains in detail how to complete the CMS-855I form to successfully enroll physician and nonphysician practitioners with Medicare

Whether you’re an industry veteran or a newly minted enrollment specialist, you won’t want to miss this unique opportunity to receive guidance directly from a MAC.

At the conclusion of this program, participants will be able to:

  • Determine which practitioners require enrollment via the CMS-855I form
  • Explain how to complete each section of the CMS-855I form, leading to the successful enrollment of physicians and nonphysician practitioners in Medicare


  • Common provider enrollment acronyms
  • Purposes and uses of the CMS-855I for physicians and nonphysician practitioners
  • Various applicable enrollment scenarios 
  • Section-by-section guidance for completing the CMS-855I form
    • Physicians
    • Eligible professionals or other nonphysicians 
      • Physician assistants
      • Psychologists
      • Physical/occupational therapists
      • Clinical nurses/nurse practitioners
  • Live Q&A

Who Should Listen?

  • Provider enrollment leads/professionals
  • Credentialing specialists
  • Enrollment specialists
  • Payer credentialing managers
  • Provider enrollment managers and supervisors
  • Practice administrators
  • Practice enrollment managers

Meet the Speaker

Sierra FarlemanSierra Farleman began working for Novitas Solutions as a customer service representative in the provider enrollment department. She then moved onto processing provider enrollment applications as a credentialing specialist. In that role, she started by processing paper applications and later moved on to processing PECOS applications. In 2018, she was hired within the provider outreach and education department as the provider enrollment liaison. In this current position, she spends the majority of her time providing education to the provider community to ease the transition into the Medicare program. Farleman holds a bachelor’s degree in education from Shippensburg University.


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email if you have questions.