Over the coming months and years, Medicare Administrative Contractors (MACs) will be asking physical therapists (PTs) and other providers to revalidate their enrollment by submitting a complete and up-to-date enrollment application. Providers should wait for the request from the MACs before submitting the revalidation. Upon receipt of the revalidation request, providers have 60 days from the date of the letter to submit complete enrollment forms. Failure to submit the enrollment forms could result in the deactivation of a provider's Medicare billing privileges.
A provision in the Affordable Care Act required certain providers who are revalidating to pay an application fee of $505. This fee does not apply to PTs in private practice who are revalidating. It does apply to all institutional providers who are revalidating (eg hospitals, SNFs, rehabilitation agencies, etc).
The most efficient way to submit your revalidation information is by using the Internet-based PECOS, available at the Centers for Medicare and Medicaid Services' (CMS) Web site. If using PECOS, once submitted, you must print, sign, date, and mail the certification statement along with all required supporting documentation to the MAC.
More information can be found in a Medlearn Matters article issued by CMS.