Provider Information Revalidation – It’s Mandatory!

December 16, 2011

Have you received noticed from your MAC (Medicare Administrative Contractor) that it’s time for you to revalidate your enrollment information? If you enrolled with CMS prior to March 25, 2011, you will be receiving notification soon!

According to Section 6401(a) of the Affordable Care Act, all providers and suppliers must revalidate their enrollment information BUT only after notification from the MAC to do so. This process is ongoing and is expected to be completed by March 2013.

The revalidation may be completed online through the Provider Enrollment, Chain, and Ownership System (PECOS) or by completing the 855 form.  Supporting documentation is required. If your billing agency normally handles your credentialing process, they will be well-equipped to handle this update.  The website for revalidation is https://pecos.cms.hhs.gov.  If this is something to be handled internally, be on the lookout for the request from your MAC!

Note that failure to complete this process may result in deactivation of your Medicare billing privileges!

Source: https://cms.gov/MLNMattersArticles/downloads/MM7350.pdf

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