American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

Medicare Enrollment Revalidation: I Got My Notice. Now What?

If you enrolled with the Medicare program before March 25, 2011, and need to revalidate your enrollment, remember that you shouldn't contact your Medicare Administrative Contractor (MAC); wait for your MAC to contact you. But what happens then? Here's a look at when to expect your notice and what you'll need to do in response.

Revalidation Continues With Phase III

Phase III of the Revalidation process has begun and will continue through March 2015. Along with individuals, larger groups were purposely moved to Phase III.  Medicare has published Part A and Part B Revalidation Target List 2 and Target List 3, on their website providing the names of providers and suppliers scheduled to receive notices within 60 days of the posting dates. Be sure to scroll down to the bottom of the page to view Revalidation Target List 2 and Target List 3 of Providers and Suppliers.   

How Does Notification Work?

Your MAC will send a colored envelope with revalidation information to both the practice address and private address you provided.

You must submit your revalidation within 60 days of being notified.

The 2014 revalidation fee for institutional providers is $542.

Providers are encouraged to submit revalidation online through the Provider, Enrollment, Chain and Ownership System (PECOS). Once you submit your revalidation, you must print, sign, date and mail the certification statement, along with all required supporting documentation, to the appropriate MAC immediately.

What If I Don't Revalidate Within 60 Days?

The rule states that the provider's national provider identification (NPI) number will be revoked if revalidation is not completed; however, it has been determined that instead the number will be de-activated instead. It is much easier to activate a number than to reapply for a new number. Providers will also be contacted twice by telephone and informed that their revalidation was not received by the 60-day deadline. 

 

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