Medicare Provider Enrollment: Get Ready for Revalidations to Restart

Why This Topic Matters

Enrollment and revalidation changes can affect whether providers and suppliers retain billing privileges and continue receiving Medicare payment. The article also highlights proposed policy updates that may increase enrollment scrutiny and change how compliance-related issues are reviewed.

Article Sections

1. Restart of Medicare provider enrollment activities

   Discusses the resumption of paused enrollment-related activity after the COVID-19 public health emergency and how timing may vary by jurisdiction and Medicare contractor.

2. Temporary billing privileges and post-PHE enrollment steps

   Covers the distinction between temporary billing privileges granted during the public health emergency and the later enrollment process that follows the end of those flexibilities.

3. First Coast Service Operations update

   Summarizes a contractor-specific notice about the status of revalidations and the communication approach for providers once processing restarts.

4. Register These MPFS Proposals on Provider Enrollment

   Introduces selected proposed changes in the 2022 Medicare Physician Fee Schedule that relate to provider enrollment oversight and screening.

5. Exclusions

   Describes a proposal involving enrollment consequences tied to excluded administrative or management staff and alignment with federal guidance.

6. Claims

   Describes a proposal revisiting claims-related screening concepts and the way enrollment review may consider billing patterns and denials.

7. Other policies on the MPFS table

   Notes additional policy topics mentioned in the article that may appear in the fee schedule discussion.

8. Resources

   Lists source materials and reference links cited by the article.