CorporateBusiness Services

Revalidation

 

Who must Revalidate All providers and suppliers enrolled with Medicare must revalidate their enrollment information on a periodic basis. Generally, physicians and NPPs revalidate enrollment every 5 years or when CMS requests it.
What is being Revalidated The accuracy of provider/supplier enrollment information. This includes active PTANS(Medicare numbers on file with your MAC carrier)
When is Revalidation due Generally every 5 years.
Part A, HHH & B providers and suppliers will be issued a due date on https://data.cms.gov/revalidationExternal Website.

Provider/suppliers not due for revalidation will display a “TBD” (To Be Determined) in the due date field. This means that you do not yet have a due date for revalidation. Please do not submit a revalidation application if there is NOT a listed due date.
Where is Revalidation sent to The fastest and most efficient way to submit your revalidation information is via PECOS, located at https://PECOS.cms.hhs.govExternal Website.

However, Paper CMS-855 applications, which can be completed and submitted to your Medicare Administrative Contractor (MAC) for revalidation purposes are located at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/EnrollmentApplications.htmlExternal Website.
Why Revalidation delays and deactivations occur Non-compliance to revalidation request letter. Corrections requested and not sent timely.

 

CMS Revalidation Due Date ToolExternal Website

 

Getting StartedPDF

 

ChecklistPDF

 

Revalidation FAQPDF

 

Revalidation Cycle 2External PDF


Two Vantage Way, Nashville, TN 37228 ©2017 CGS Administrators, LLC. All Rights Reserved