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What Medicare forms should be used by registered dietitians and nutrition professionals to become qualified Medicare providers?

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What Medicare forms should be used by registered dietitians and nutrition professionals to become qualified Medicare providers?

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To become a Medicare provider and to bill Medicare directly, the provider must file an application to obtain a Medicare Provider Identification Number (PIN) number. This is CMS Form 855I, the Application for Individual Health Care Practitioners form. The specialty code for dietitians/nutritionists is 71. RDs in need of information about filing an application contact your local Medicare carrier. If the RD works for a hospital or clinic to which they will need to reassign their benefits, additional form(s) will need to be completed. For example, the health care facility may also require the RD to file the CMS Form 855 R, the Application for Individual Health Care Practitioners to Reassign Medicare Benefits form, with their local Medicare carrier. This form allows the dietitian or nutritionist to re-assign her/his Medicare reimbursement to the organization to whom the practitioner authorizes to bill Medicare on her/his behalf. In addition, some RDs may need to complete CMS Form 855B, the

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