tci General Surgery Coding Alert - 2008 Issue 9

Revalidation Requires Your Attention -- Now

Medicare can pull billing privileges for noncompliance All practices billing Medicare should act now to get a strong handle on Medicare's "revalidation process." For those practices not in compliance, your carrier or fiscal intermediary (FI) may very well pull the plug on your billing privileges. Background: According to CMS ruling 42 CFR 424.515 in the April 21, 2006, Federal Register, all Medicare providers must revalidate their Medicare information on file, via a CMS-855 form, within 60 days of receiving a revalidation request from their CMS fiscal intermediary or carrier, say Lyndean Brick, JD, senior vice president of...

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