Medicare to send revalidation notices

November 17, 2011

The U.S. Centers for Medicare & Medicaid Services (CMS) is proceeding with plans to revalidate all Medicare providers and suppliers who have not revalidated since March 25, 2011, so that ALL Medicare providers and suppliers are scrutinized under new screening requirements of the Affordable Care Act, agency officials confirmed during a special provider conference call last month.

However, the CMS is now asking all Medicare providers and suppliers to wait to revalidate until they are requested to do so by their Medicare contractor.

The requests will come in a colored envelope and should have the word “Revalidation” in the heading highlighted at the top.

“The CMS is aware of the massive scope of this ambitious effort, and contractors are building up staff to handle the anticipated workload,” an AOA Advocacy group staff person observed after taking part in the conference call.

The CMS is also making improvements to the general Medicare enrollment/reenrollment process as well as the online enrollment/ reenrollment/ revalidation using Internet-based PECOS.

Those improvements will be most noticeable after Jan. 1, 2012, but will continue quarterly next year, according to the agency.

The CMS plans to start small in issuing revalidation requests next year.

The CMS will have more written materials and guidance before the end of 2011. The AOA will also have more information about the improved enrollment process. For updates, visit the AOA Web site (www.aoa.org).

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