Client Alert – Medicare Revalidation

Monday, October 31, 2011

CMS recently began the process of contacting all providers and suppliers (other than those enrolled since March 25, 2011) to revalidate their Medicare enrollment information consistent with the directive in the Accountable Care Act. The process is expected to carry over into 2012 and 2013, and it will impact approximately 1.5 million providers, including physician practices, physicians and other individual practitioners, as well as institutional providers.

Our Client Alert includes more detail regarding the revalidation process, but here are highlight a few items for you:

  • CMS (via its Medicare contractors) will contact you regarding revalidation; do not attempt to revalidate your Medicare information until you hear from the contractor. CMS is directing its contractors to deliver revalidation requests and information in colored envelopes. CMS anticipates delivering approximately 89,000 revalidation letters in 2011; the rest will be delivered in 2012 and 2013.
  • When you receive your revalidation letter, you will need to revalidate your Medicare enrollment information within 60 days to avoid interruption in payment.
  • CMS contractors will deliver revalidation letters to providers at the mailing address listed on PECOS. Consequently, we recommend that all physicians and practice managers review their PECOS information to confirm that their mailing address is current.
  • Physician practices, physicians and other individual practitioners will not pay a fee in connection with the revalidation process.

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