Medicare Providers: Do You Know Your Revalidation Date?

(Sept. 17, 2024) Medicare providers are required to revalidate their enrollment record periodically to maintain Medicare billing privileges. In general, providers and suppliers revalidate every five years, while Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers revalidate every three years.

The Centers for Medicare and Medicaid Services (CMS) sets every provider’s revalidation due date at the end of a month and posts the upcoming six to seven months of due dates online. These lists are refreshed every two months with an additional two months’ worth of due dates appended to the list. The list is posted here. 

A provider whose due date shows ‘TBD’ has not yet had a due date set. Medicare Administrative Contractors (MACs) will send revalidation notices to providers (other than DMEPOS suppliers) by mail or email three to four months prior to the due date. Although revalidation notices are sent, providers are responsible for keeping track of their posted due date. Failure to revalidate on time could result in a hold on Medicare reimbursement or deactivation of Medicare billing privileges. However, providers should not revalidate if their due date is more than seven months away unless such revalidations will be returned.

The revalidation itself is done most effectively through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). More information on revalidation is available here.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841