Medicare Provider Revalidation
Be On the Lookout!
Medicare requires that you revalidate enrollment for each provider every 5 years, and for DMEPOS suppliers (optical) every 3 years. CMS is supposed to send you a notice when it is time to revalidate. Tell your staff to be sure to watch for this.
Several of our clients have failed to file their revalidation request correctly and ended up with a lapse in Medicare Enrollment status. If the lapse is caused by an error in the process due to a practice mistake, there are no appeals that will reinstate the lapse. You will lose Medicare payments for the lapsed time period.
Due dates for revalidation are supposed to be listed at https://data.cms.gov/revalidation, but some of our clients have come due for revalidation and did not appear on this list. Best practice is to log in to the PECOS website and check the revalidation center. Make sure you have access to your group and individual accounts on PECOS now so you don’t get caught short.
You may want to review the MLN Matters SE1605 Revised issued on June 15, 2017.
Linda Georgian will be speaking at the ASOA meeting in Washington D.C. on this topic:
Medicare Deactivation: You Could Be Treating Those Patients For Free
The talk is currently scheduled for Sunday, April 15, at 10:30AM. If you are attending ASOA, please make an effort to attend Linda’s talk.
We are happy to assist providers and groups with revalidation, payer appeals, chart reviews, compliance, or other documentation and coding concerns. Please contact us via one of the below or on our “App”, Corcoran 24/7, which can be accessed via your app store.
www.corcoranccg.com (800) 399-6565