Home Health & Hospice Week

Industry Note:

Heed This Revalidation Advice From MACs

If you enrolled in Medicare before March 25, 2011, the Affordable Care Act requires you to revalidate your enrollment information.

MACs have been sending out revalidation requests for the past few years, and will continue to do so through March 23, 2015. Some providers, however, are confused about how to handle these requests, and MAC National Government Services recently sent out an instructional note about what to do if you receive one of its “yellow envelopes,” which contain the revalidation information.

As long as you respond within 60 days of the postmark date on the letter, you won’t hold up your payments (or deactivate your billing privileges), but you should complete the application as soon as possible. The fastest way, NGS says, is via PECOS. It will require you to electronically verify your information, make any changes or up-dates, sign the application online, and upload any supporting documents.

If you aren’t able to access the information via PECOS, you can submit the paper CMS-855 form. Double check your NPI and PTAN to ensure that the revalidation goes smoothly.

HHAs don’t have to submit capitalization documentation with their revalidation, MAC Palmetto GBA confirms in a question-and-answer set updated Dec. 11. However, you do need to submit “licenses, certifications, and registrations required by Medicare or state law; written confirmation from the IRS confirming your Tax Identification Number (TIN) with legal business name; and CMS Form 588 EFT agreement for providers not currently receiving payments electronically,” Palmetto says in the 18- question set. For a free link to the Q&As, email editor Rebecca Johnson at rebeccaj@eliresearch.com with “Revalidation Q&As” in the subject line.

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