tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Industry Notes: Know These Revalidation Details

If you think that your Medicare provider revalidation process is complete once you submit your CMS-855 form, think again. Context: Medicare Administrative Contractor (MAC) NGS Medicare reminds that after you submit the correct CMS-855 form, which is determined by provider or supplier type, there’s another step. “Upon receipt of the application, the requirement of submission is met by an acknowledgement email to the contact identified on the application with the case number,” the Part B MAC notes in a June 7 alert. “The provider/ supplier shall follow the status of the application to respond to...

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