Your group’s Medicare enrollment can be current while one of your clinicians has a revalidation deadline approaching. Missing that deadline can interrupt Medicare billing and payments.
Revalidation is Medicare’s periodic check that the information on a clinician’s or organization’s enrollment is still accurate. According to CMS revalidation guidance, most clinicians and practices enrolled in Original Medicare revalidate every five years, though Medicare can require an earlier review. Use the due date assigned to each enrollment.
Know which enrollment is due and who’s handling it
If your practice manages several clinicians or billing entities, match each notice to the enrollment it names. Make sure your team knows who owns the filing and any follow-up. If a notice and the CMS Medicare Revalidation List show different dates, confirm the deadline with your Medicare Administrative Contractor.
What pie handles
When Medicare revalidation is part of your engagement, pie confirms which enrollment is due, reviews the information on file, prepares the filing, and coordinates signatures and submission. We follow up with the Medicare contractor and let you know the outcome or whether any action is still needed.
When your practice needs to act
If you receive a revalidation notice, forward it to your pie team so we can confirm who’s handling it. We may ask you to verify a change in ownership, management, or practice locations, provide a supporting document, or arrange an authorized signature. We’ll tell you which enrollment it affects, what we need, and when we need it.