Medicare Compliance & Reimbursement - 2011 Issue 40
Enrollment: CMS Reminds Practices of 60-Day Revalidation Timeline
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Article Overview
This article explains CMS’s reminder about Medicare enrollment revalidation for practices and suppliers, including when notices are sent, how contractors contact providers, and what happens after revalidation documents are submitted. It is relevant to billing, compliance, and enrollment staff who need to track Medicare enrollment status and stay alert for official revalidation requests.
Why This Topic Matters
Failure to respond to a Medicare revalidation notice can affect provider enrollment status and billing privileges, so practices need to understand the timing and source of these notices. The article helps readers know when to wait, where to look for mail, and what follow-up to expect from their Medicare Administrative Contractor.
What You Will Learn
- How CMS is handling Medicare provider enrollment revalidation notices
- Where revalidation letters are sent depending on PECOS enrollment status
- What practices should expect after submitting revalidation documents
- How contractors may contact providers before the revalidation deadline
- Which providers are included in the revalidation effort
Who Should Read This
- Medical practice administrators
- Billing staff
- Compliance staff
- Provider enrollment specialists
- Healthcare managers
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