On August 21, 2009, the Centers for Medicare & Medicaid Services (CMS) announced that it would begin a limited provider revalidation effort in fiscal year 2009. The revalidation effort will focus on the top fifty (50) billers within each state for the following categories: Part B organizational suppliers, individual practitioner suppliers, and skilled nursing facilities (SNF). In addition, approximately fifty (50) Slide Preparation Facilities currently enrolled in Medicare nationwide will be involved in the revalidation effort. Only those entities that do not have an established record in the Provider Enrollment, Chain and Ownership System (PECOS) or an Electronic Funds Transfer (EFT) agreement will be included.
Consistent with the Federal Regulations found at 42 CFR 424.515, providers and suppliers are required to revalidate their enrollment information every five (5) years. However, 42 CFR 424.515(d) permits CMS to conduct off cycle revalidations in addition to the regular five (5) year cycle.
Medicare contractors will mail initial revalidation letters to the selected billers on September 21, 2009. If you receive this letter do not let it lie on your desk. The provider enrollment rules provide for revocation of Medicare enrollment for failure to return the completed form with documentation within sixty (60) calendar days. If this happens, you will not be able to bill Medicare until the problem is corrected.