Health Center Regulatory Issues, Uncategorized

UPDATE: Medicare Revalidation: What FQHCs Need to Know

By: Susan Sumrell

CMS has posted a list of all providers who have been sent a request to revalidate their Medicare enrollment information.    To view the list, visit the Medicare Provider Supplier Enrollment Revalidation Page and click “Revalidation Phase 1 Listing.”   Be sure to bookmark this page, because CMS will be updating this page monthly. 

For more information on what’s required for the Medicare  Revalidation, see our orginial blog, reposted below.

We have received several questions on the Medicare revalidation process and wanted to provide some more information on the process and impact to FQHCs.  This is very  important to understand, as it will directly impact your center’s Medicare billing.   

Section 6401(a) of the Affordable Care Act requires all providers and suppliers (including FQHCs) that enrolled with Medicare before March 25, 2011 to revalidate their enrollment information under new enrollment screening criteria; but only after such providers or suppliers receive notification from their MAC.  Once contacted by a MAC, suppliers and providers have 60 days from the date of the letter to submit complete enrollment forms. Please note that failure to submit the enrollment
forms as requested may result in the deactivation of Medicare billing
. Additionally, the $505 Medicare enrollment fee that we told you
here also applies to revalidation.

CMS has posted two important Medicare Learning Network articles on the revalidation process and the new enrollment fee here: MLN MattersNumber: SE1126 and MLN
MattersNumber: MM7350

For more information on the revalidation process, please contact Susan Sumrell or Gervean Williams.