Billing Beat

Provider Enrollment Revalidation ñ Extended another 2 years

November 18, 2011

CMS has reevaluated the revalidation requirement in the Affordable Care Act, and believe it affords the flexibility to extend the revalidation period for another 2 years. This will allow for a smoother process for provider and contractors. Revalidation notices will now be sent through March of 2015. This does not affect those providers which have already received a revalidation notice. If you have received a revalidation notice from your contractor, respond to the request by completing the application either through internet-based PECOS or completing the appropriate 855 application form. The first set of revalidation notices went to providers who are billing, but are not currently in PECOS. To identify these providers, contractors searched their local systems and if a Provider Transaction Access Number (PTAN) for a physician was not in PECOS, a revalidation request for that physician was sent. CMS asks that all providers who receive a request for revalidation respond to that request. CMS plans to post a list of providers who were sent requests to revalidate.

Source: https://www.noridianmedicare.com/cgi-bin/coranto/viewnews.cgi?id=EFkpyAAllksoZdSGSG&tmpl=part_b_viewnews&style=part_ab_viewnews

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