Alert For Colorado And Other Novitas Providers — Medicare Revalidations

May 13, 2013 | Uncategorized

Alert For Colorado And Other Novitas Providers — Medicare RevalidationsnnA recent incomplete CMS listing is raising concerns, as the state of Colorado is missing from the listing annltogether, and this leaves no way for providers to check to see if they are due for revalidation. Welter Healthcare Partners works with over 150 providers and has had providers whose PTANs have been deactivated due to non-response to the revalidation request. Representatives at Novitas have stated that they are receiving many phone calls on this concern, and that they have escalated it from the inside. They have further stated that this issue is being addressed at each staff meeting, there has not been a definitive resolution presented. If you have any questions, or need any assistance with this process, contact us today.n

Medicare is continuing their efforts to revalidate ALL Medicare providers! There are 2 years left in their intended timeframe.

nYou will be receiving a notification letter (letters being mailed between late 2011 & March 2015). You (the provider) only have 60 days to complete and submit the proper forms that must be completed. The process is/was to be suspended until after completion of the new MAC transition. However, if you do/did receive a revalidation notice, don’t ignore it! PTANs will be deactivated if forms are not received and processed, which means your payments will stop!nnIf you need assistance, please don’t hesitate to contact Welter Healthcare Partners’s dedicated credentialing department at 303.534.0388.nnSection 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. This revalidation effort applies to those providers and suppliers that were enrolled prior to March 25, 2011. Newly enrolled providers and suppliers that submitted their enrollment applications to CMS on or after March 25, 2011, are not impacted. Between now and March 23, 2015, MACs will send out notices on a regular basis to begin the revalidation process for each provider and supplier. Providers and suppliers must wait to submit the revalidation only after being asked by their MAC to do so. Please note that 42 CFR 424.515(d) provides CMS the authority to conduct these off-cycle revalidationsnnWere you sent a Medicare revalidation request?nnIn the “Downloads” section (found here) is a listing of all providers and suppliers who have been mailed a revalidation notice. The files are broken down by the month in which the revalidation request was mailed. CMS will add lists on a bimonthly basis. If you are listed, and have not received the request, please contact your Medicare contractor. Their contact information can be found in the Downloads section, herennWould you like to learn more?nnIn the “Related Links Inside CMS” section, here, you will find the transcript of the October 27, 2011 National Provider Call about the Revalidation of Medicare Enrollment. You will also find helpful articles about the revalidation process, enrollment provisions of the Affordable Care Act and how to pay your enrollment application fee.nnStill have questions?nnQuestions concerning provider enrollment policy or your provider’s situation should be referred to your MAC. Their contact information can be found in the “Downloads” section below. Questions concerning a system issue regarding PECOS  should be referred to the CMS EUS Help Desk at 1-866-484-8049, or send an e-mail to; April 15, 2013.