Medicare Revalidation
CMS has extended the period for provider revalidation to March 2015. This update doesn’t affect any providers who have already received a revalidation notice. If you have already received a revalidation notice, you have 60 days to complete a Medicare Provider Enrollment revalidation through PECOS or submission of the appropriate 855 form.
Medicare Enrollment Application Fee for 2013
Certain providers must pay an application fee when revalidating. Section 6401(a) of the Affordable Care Act requires the Secretary to impose a fee on each “institutional provider of medical or other items or services and suppliers.” The application fee is $505 for Calendar Year (CY) 2011. For CY 2012, the fee is $523.00 and for CY 2013, the fee is $532.00. CMS has defined “institutional provider” to mean any provider or supplier that submits a paper Medicare enrollment application using the CMS-855A, CMS-855B (except physician and non-physician practitioner organizations), or CMS-855S forms or associated Internet-based PECOS enrollment application.
All institutional providers (i.e., all providers except physicians, non-physicians practitioners, physician group practices and non-physician practitioner group practices) and suppliers who respond to a revalidation request must submit an enrollment fee (reference 42 CFR 424.514) with their revalidation. In mid September, CMS revised the revalidation letter that contractors sent to providers to clarify who must pay the fee. You may submit your fee by ACH debit, or credit card. Revalidations are processed only when fees have cleared. To pay your application fee, go to https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.do
Upon receipt of the revalidation request, providers and suppliers have 60 days from the date of the letter to submit complete enrollment forms. Failure to submit the enrollment forms as requested may result in the deactivation of your Medicare billing privileges.
and submit payment as directed. A confirmation screen will display indicating that payment was successfully made. This confirmation screen is your receipt and you should print it for your records. CMS strongly recommends that you mail this receipt to the Medicare contractor along with the Certification Statement for the enrollment application. CMS will notify the Medicare contractor that the application fee has been paid
Check to see if you have received a Medicare Revalidation letter by entering your NPI or name in the fields below:
