CMS reveals new enrollment revalidation effort with deadline set for March 2013

Why This Topic Matters

Medicare enrollment revalidation affects provider participation status, enrollment file accuracy, and compliance planning. Understanding the timing, screening categories, and PECOS changes helps organizations prepare for administrative updates that may affect many enrolled entities.

Article Sections

1. Revalidation deadline and exemption timing

   This section outlines the Medicare revalidation timeline and identifies which enrollment groups are exempt from the new deadline. It also explains the relationship between the earlier revalidation cycle and the upcoming CMS requirement.

2. New screening requirements and risk categories

   This section discusses the screening framework CMS is applying to providers and suppliers and describes the broad risk categories used in the process. It also notes the types of entities discussed in connection with each category.

3. More PECOS updates revealed

   This section summarizes planned updates to PECOS that CMS wanted to begin implementing later in the year. It covers system functionality changes intended to affect enrollment and revalidation workflows.