The Affordable Care Act requires that all providers enrolled with CMS prior to March 25, 2011, revalidate their enrollment information under new screening criteria. This has been an ongoing effort in which Medicare contractors send notices to begin the process to selected providers on a regular basis. Providers should not take any action to revalidate until requested by their Medicare Administrative Contractor (MAC).
The CMS request letter can be sent to any address on file for the group such as the hospital, billing service, or other contact address. It is important that this letter get forwarded to APS immediately so the new enrollment form can be completed and sent to the provider for signature, verifying that the information is correct and current. Time is of the essence; if Medicare does not receive the requested revalidation within 60 days, payments to the provider will be held until the process is completed.
This requirement does not impact providers who submitted their enrollment applications to CMS on or after March 25, 2011. Questions about the CMS Enrollment Revalidation can be directed to the APS Credentialing Department.
The speed of APS’ technology coupled with the expertise of their staff resulted in accurate billing and complete claim resolution improving overall billing performance.