Medicare Revalidation: Avoid Deactivation by Mastering Cycle 2 Deadline Requirements

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Currently Medicare enrolled providers and suppliers must undergo Medicare revalidation based on CMS’ tightened second round (Cycle 2) off-cycle requirements.

CMS requires Medicare providers and suppliers to revalidate their enrollment every 3 or 5 years. Failure to revalidate on a timely basis can result in a deactivation of your Medicare enrollment records. This means, until the Medicare revalidation is submitted and approved, you may not be eligible to receive reimbursement from Medicare.

The good news is that Medicare has several tools that can help you avoid missing a revalidation deadline. The challenge is that effectively using these tools can be confusing.

However, with a little help, you can identify and effectively utilize Medicare revalidation tools, comply with Cycle 2 requirements, and help your practitioners avoid Medicare deactivation for missing a revalidation deadline.

During this online training, credentialing expert, Gretchin S. Heckenlively, CPA, FHFMA, walks you through how to quickly and efficiently identify and use Medicare revalidation online tools to help you ensure your insurance enrollment isn’t deactivated.

Medicare Revalidation Online Training

Here are just some of the practical, step-by-step Medicare revalidation tips you’ll receive by attending this 60-minute online training:

  • Comply with CMS deadlines and maintain your Medicare enrollment status
  • Identify who must update and maintain their CMS-855 form, and when it’s due
  • Better track revalidation deadlines with the Medicare Revalidation Lookup Tool
  • Stop Medicare payment holds and deactivations for lack of response to revalidation
  • Be ready for MAC revalidation deadlines with proven notification rules
  • Utilize Medicare revalidation (Cycle 2) changes in your favor
  • How to make the PECOS Revalidation Notification Center work for you
  • Pin down reactivation effective dates after you’ve missed your deadline
  • Demystify CMS revalidation tools to help you more effectively monitor submission due dates
  • And so much more…

Knowing when you are required to resubmit your revalidation documents is essential, but not always easy. If you submit your information too early, it will be returned. If you miss the preset deadline you can be deactivated and will not be eligible to receive reimbursement for providing services to Medicare patients.

If that happens, you must submit an entirely new Medicare application, and you will receive NO Medicare reimbursement from the date of deactivation until a new application is received by the MAC.

Even though Medicare revalidations are at the half-way mark in the second cycle, only a small percentage of providers have been asked to revalidate thus far.

With the majority of Medicare providers still left to revalidate in the next two and half years, will you be able to comply with CMS deadlines to maintain your Medicare provider status? You can make sure that you are…

By attending this , 60-minute online training, you’ll learn how to better meet changes within the CMS Cycle 2 revalidation process, including deactivations, and master CMS submission timeline compliance. You’ll gain the skills you need to access CMS interactive resources to help avoid missing your revalidation deadline. Don’t wait, sign up today.

Meet Your Expert

Gretchin S. Heckenlively
CPA, FHFMACPA and Partner, Seim Johnson, LLP

Gretchin is a CPA and Partner in the Health Care Consulting division at Seim Johnson, LLP. She joined the firm in 1997 in the HealthCare Audit Division providing audit and Medicare/Medicaid cost reporting services on over 100 engagements.

In 2006, Gretchin left Seim Johnson to pursue an opportunity as the Chief Financial Officer of a critical access hospital. There she gained valuable experience in both the financial and clinical arenas of a hospital.

Gretchin rejoined the firm in 2010, and since that time, she has been able to bring frontline knowledge and understanding of working in a healthcare environment to the consulting division. Her focus is on Medicare and Medicaid provider enrollment, Medicare provider-based issues and reimbursement.

Gretchin has given many presentations on a wide range of healthcare, and not-for-profit related topics at a local, state and national level and currently serves on the CMS Central Office PECOS Focus Group and the CMS Central Office Provider Compliance Focus Group.

Also, she is an active member of Healthcare Financial Management Association (HFMA) and is a past President of their Nebraska Chapter. She also served as the Treasurer of HFMA Region 8. Gretchin graduated from Doane College in May 1997 with a Bachelor of Science Degree in Accounting and Finance.

Reviews

Very well organized and easy to follow.
Shelly Young
VP, Supero Heathcare Solutions
Useful information!
Glenn Kishaba
COO, Physicians Network Services

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