ED Coding & Reimbursement Alert - 2012 Issue 36
'Revalidation is Here to Stay,' CMS Reps Say
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Article Overview
This article covers CMS’s ongoing Medicare revalidation initiative and related enrollment process updates. It explains the broad timing and administrative framework for revalidation, how contractors handle outreach and inactive records, and what has changed for submitting enrollment-related supporting documents and application information. The piece is relevant to providers, suppliers, DME suppliers, billing staff, and enrollment teams tracking CMS contractor procedures.
Why This Topic Matters
Medicare enrollment and revalidation can affect whether providers and suppliers remain able to bill and maintain active enrollment records. Understanding the latest CMS process updates helps organizations prepare for contractor notices and administrative follow-up.
Article Sections
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Background
Introduces the CMS revalidation initiative, its broad timing framework, and the agency’s outreach efforts related to the process.
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Here's how
Summarizes the contractor-side workflow for notices, outreach attempts, and administrative handling when responses are not received.
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Fax and Email Now OK
Covers CMS’s update allowing supporting documents to be submitted by additional methods rather than only by traditional mail.
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Geographic update
Discusses how revalidation notices may be distributed across states and among group members on different timelines.
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Seek yellow
Notes an identifying feature of revalidation correspondence referenced by CMS during the call.
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CMS Changes PECOS Submission Timeline
Explains updates affecting enrollment application timing, contractor verification of locations, and handling of incomplete submissions.
What You Will Learn
- How CMS describes the long-term role of Medicare revalidation
- What kinds of outreach and contractor steps are part of the revalidation process
- How CMS has updated submission options for supporting documents
- How enrollment application timing and verification issues are being handled
- What providers and suppliers should expect in broad terms from Medicare contractors
Who Should Read This
- Providers
- Suppliers
- DME suppliers
- Billing staff
- Enrollment specialists
- Practice managers
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