Deadline for Revalidation of Medicare Enrollment

The next deadline for cycle two revalidations is July 31, 2016. If you are due to revalidate, you must do so through PECOS (Provider Enrollment, Chain and Ownership System) to avoid possible deactivation of your provider number.

Do you know when your provider(s) are due to revalidate? Your local Medicare contractor should notify you that it is time to complete the revalidation process. However, you may not want to rely on your MAC notifying you in time. CMS has a new revalidation website where you are able to determine if you are due. You may look up your provider(s) by name, NPI or receiving entity for those who reassign payments. If you are due to revalidate, a due date will appear. If you are not due, “TBD” appears. TBD may also indicate deactivation due to failure to revalidate when previously scheduled.

If your deadline was May 31, 2016, and you missed it, you will be deactivated soon. If you missed a June 30, 2016 deadline, you will be placed in pend status and you will receive an email indicating that your revalidation application has not yet been received. “Pend status” will cause payments to be held by your Medicare contractor. If you have this status, you should immediately complete the application and submit through PECOS.

Visit https://data.cms.gov/revalidation to determine your status. Check often – we recommend monthly – as CMS updates the list regularly. You cannot afford to miss your due date.

We have prior Web News items on our website. To access these news items, please visit www.corcoranccg.com and Search on ‘revalidation’.

As always, if you need assistance, Corcoran Consulting Group can help with coding, documentation, and reimbursement questions or to provide training or chart review and compliance questions. Visit our website or call us to learn more. You can link to our new App, Corcoran 24/7 via one of the links below.

www.corcoranccg.com (800) 399-6565