CMS form 671 is used for?

CMS form 671 is used for?

• A. Facility application or renewal
• B. Employee injury reporting
• C. IDR request
• D. FDR documentation

Answer: (A)

Form CMS-671 is the enrollment/renewal tool used when a facility wants to participate in Medicare/Medicaid. It collects essential details about the facility—identifying information, licensed status, ownership and control, and other enrollment data—so CMS can verify eligibility and authorize billing. This specific form is about getting a facility into the program or keeping its enrollment current. It isn’t the form used for reporting employee injuries, handling an IDR (dispute) request, or gathering documentation for downstream or related entities, which are managed through other processes and forms.

Form CMS-671 is the enrollment/renewal tool used when a facility wants to participate in Medicare/Medicaid. It collects essential details about the facility—identifying information, licensed status, ownership and control, and other enrollment data—so CMS can verify eligibility and authorize billing. This specific form is about getting a facility into the program or keeping its enrollment current. It isn’t the form used for reporting employee injuries, handling an IDR (dispute) request, or gathering documentation for downstream or related entities, which are managed through other processes and forms.