You do so by checking the box next to each product. as you set up each provider or organization account and request a connection with your organization, you may log in to your account as an aO or dO and approve those requests. You will see an approval and rejection button for each product chosen on behalf of the provider or organization. If the provider is completing the connection, they do have the ability to reject a connection request. It is best to communicate in advance so they are informed of what to do. additionally, email notifications are sent to all users when new connections are created. It will take approximately 24 hours for this connection to be recognized by PeCOs and/or eHr. NPPes is a completely different system and is currently not available once you have become a surrogate, but Cms expects this to be available in the future. as an aO or dO, you have the ability to manage your staff. You may create connections to allow access for staff and you can invite and manage the providers your staff may access. You may turn access privileges off if a staff member leaves your organization. Only approved aOs and dOs are able to create and manage connections. If you have been authorized to perform these functions, you will need to perform a role change request in the “my Profile” page under the employer information section at the bottom of the page and have your aO approve you to be a dO. Once approved, a connection will not expire, but either party may log in and remove the connection at any time. aOs and dOs are able to see all the individual providers who have approved the third-party organization as their surrogate. staff must be given access to those records by an aO or dO. existing users any aO, staff end user, or individual provider who previously accessed PeCOs, NPPes, or eHr already has an account. existing usernames and passwords previously used to access PeCOs, eHr, and NPPes have been converted and may still be used in I&a. so now that you have completed all of this work to set up your provider or organization I&a accounts and your own organization account(s), what benefit will this provide you? The login username and password you chose for your account may now be used to log in to PeCOs, eHr, and, eventually, NPPes. Once you log in to PeCOs, you can go to the “my enrollments” tab and see all the providers’ and organizations’ medicare enrollment files available to you to access. You can use one login username and password. The same will be the case with eHr. Log in using your username and password and all providers and organizations will be listed 14 HBma BILLINg • jaNuarY.FeBruarY.2015 HelpFul deFinitionS ORGANIzATIONAL PROVIDER an organization that provides medical items and/or services to medicare beneficiaries (e.g., dmePOs supplier, physician group practice, hospital, etc.). This organization must have or be eligible for a Type 2 NPI in NPPes. THIRD-PARTY ORGANIzATION a third-party organization (e.g., billing agency, credentialing consultant, or other staffing company) that has business relationships with individual providers or organizational providers to work on their behalf. SURROGATE an employee (e.g., staff, aO, or dO) of an individual provider, organizational provider, or third-party organization who is authorized to access, view, and modify information within Cms computer systems on behalf of their employer; or an organizational provider that has a business relationship with an individual provider to access, view, and modify information within Cms computer systems on their behalf; or a third-party organization that has a business relationship with an individual provider or organizational provider to access, view, and modify information within Cms computer systems on their behalf. for you to work on eHr meaningful use registrations or attestations. This will save you a lot of time, whether utilizing PeCOs or eHr, as you will no longer have to log in and out of multiple accounts and remember multiple usernames and passwords. David Zetter is founder and consultant at Zetter HealthCare (www.zetter.com). He specializes in all aspects of practice management and is a nationally sought-after and recognized speaker, a certified healthcare business consultant, and a member of the National Society of Certified Healthcare Business Consultants (www.nschbc.org).
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