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Revalidation Effort Focuses on X-ray Suppliers

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  • In CMS
  • October 19, 2009
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Carriers and Part A and Part B Medicare Administrative Contractors (A/B MACs) are creating lists and checking them twice, but they’re not looking for who’s been naughty or nice. On these lists are X-ray suppliers currently billing Medicare who are not in the Provider Enrollment, Chain, and Ownership System (PECOS).

Medicare providers and suppliers are required to revalidate their enrollment information every five years. Time flies, though, so the Centers for Medicare & Medicaid Services (CMS) permits carriers and A/B MACs to initiate revalidation activities any time during the fiscal year.

By Nov. 2, all carriers and A/B MACs will have created a list of all portable X-ray suppliers who are currently billing Medicare and are not in the PECOS.

Providers and suppliers who are on the list can expect a letter in the mail. Providers/suppliers who fail to respond within 60 days after receiving a request for revalidation will lose their Medicare billing privileges (and perhaps receive coal in their stocking).

Tip: Providers and suppliers should submit all required documentation with their application, even if such documentation is already on file with the contractor.

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