CMS: Some Providers, Suppliers Must Revalidate Medicare Enrollment

Providers and suppliers enrolled with Medicare prior to March 25, 2011, must revalidate their enrollment information by March 23, 2013, according to a CMS Medicare Learning Network report.

However, providers and suppliers can revalidate their enrollment information only after receiving notification from their Medicare Administrative Contractor. Newly enrolled providers and suppliers that submitted enrollment applications to CMS on or after March 25, 2011, are not affected.

The Patient Protection and Affordable Care Act established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria, the report said. When providers receive notification from their respective MACs, Medicare enrollment can be updated through the Internet-based Provider Enrollment, Chain and Ownership System or by completing the CMS-855 application.

Read the report on Medicare enrollment (pdf).

Related Articles on Medicare:

Medicare Administrative Contractors to Issue Demand Letters Under RAC Program
Identifying and Collecting Underpayments: 7 Ways to Increase Your Success
GAO: Medicare Represents Roughly 38% of Federal Government Improper Payments

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