Due to new risk screening criteria required by the Affordable Care Act, providers/suppliers who enrolled in the Medicare program prior to March 25, 2011, will be required to revalidate their Medicare enrollment. Providers/suppliers who enrolled in Medicare after March 25, 2011, have already completed the risk screening process.
Medicare Administrative Contractors (MACs) will contact providers/suppliers between now and March 2013 with revalidation requests. Providers/suppliers are required to complete the revalidation process within 60 days from the date of the letter from their MAC. Medicare has asked that providers/suppliers do not revalidate until asked to do so by their MAC. Revalidation will require completion and submission of enrollment forms. Revalidation can be done using the Internet-based Provider Enrollment, Chain, and Ownership System (PECOS).
For additional information about the revalidation process, please review this revised article published by the Medicare Learning Network. Additional helpful fact sheets and resources are linked on the fourth page of the article.
Coding Corner articles are archived on the Coding Page of the AASM website for future reference.