How To Prepare for CMS Revalidation

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All enrolled Medicare providers and suppliers must go through a periodic revalidation process. This Affordable Care Act screening requirement verifies all information on file for existing Medicare providers.

You will know when to revalidate when you receive a letter from the Centers for Medicare and Medicaid Services (CMS) directing you to submit your revalidation application. Note that provider revalidation does not lift any of the routine enrollment change reporting requirements such as for address changes, information updates, additions to your practice or reassignments.

Prepare for Revalidation

It's your responsibility to complete the revalidation process properly. Failure to revalidate may result in enrollment deactivation. You must revalidate all active practice locations and current reassignments.

  • The revalidation notice will be sent to your correspondence address or physical location so monitor both carefully.
  • If you have different enrollments in various states, your notices may not be received at the same time.
  • If you haven't received the notice within 2 months of your revalidation date, begin the revalidation process anyway. You can check your due date here as they are listed 6 months in advance.
  • Gather any necessary information for your revalidation. Follow this CMS checklist to ensure that you are prepared to enter required revalidation data.
  • Be sure to sign your application before mailing your certification statement to the Medicare Administrative Contractor or make sure to sign electronically.

Organizational providers and suppliers have additional submission requirements that can be reviewed in advance on the checklist.

The most efficient way to submit your revalidation information is by using the internet-based PECOS system.

Failure to submit a complete application by your revalidation due date may result in a hold on your Medicare payments and/or deactivation of your Medicare billing privileges.

Let Us Manage All Your Payer Enrollment Services

If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.