Revalidation
Provider Enrollment Revalidations: Things You Should Know
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/revalidation. 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. However, Paper CMS-855 applications, which can be completed and submitted to CGS Administrators, LLC at the address: J15—HHH Provider Enrollment |
Why Revalidation delays and deactivations occur |
Non-compliance to revalidation request letter. Corrections requested and not sent timely. |
Top Provider Questions – Provider Enrollment Revalidation Initiative |
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