For EMS providers, maintaining compliance with the Centers for Medicare & Medicaid Services (CMS) is crucial to ensure continued reimbursement. One key component of this process is revalidation. Periodically, CMS revalidation requires EMS providers to reconfirm their credentials to remain eligible for Medicare and Medicaid payments.
Revalidation helps preserve the integrity of the healthcare system, ensuring that only qualified and legitimate providers are delivering services to patients. However, navigating this process can be time-consuming, and without proper management, it may result in delays or disruptions in reimbursement.
What Is CMS Revalidation?
Revalidation is the process by which EMS providers update and reconfirm their enrollment with CMS to retain their billing privileges. This step ensures that providers meet all the regulatory requirements and maintain the necessary credentials to receive payments. CMS generally requires revalidation every 3-5 years, though the exact timeline can vary.
Providers can expect a CMS notification via mail or email when revalidation is due. However, it’s essential that providers proactively track their revalidation schedule to ensure all deadlines are met. The Medicare Revalidation List is a searchable database to look up the revalidation due date for Medicare providers who must revalidate their enrollment record information.
Navigating The Process
While necessary, the Medicare and Medicaid revalidation process can be intricate and time-consuming. Approval can take several weeks or even months. Therefore, EMS providers must act promptly once notified to avoid delays. Failure to submit the required documentation on time could result in a temporary suspension of reimbursement privileges.
To avoid setbacks, EMS providers should:
- Keep their billing partner informed of organizational changes, such as address or personnel updates.
- Submit all required documentation well before the CMS deadline.
- Regularly monitor the status of their revalidation to address potential issues promptly.
At EMERGICON, we understand the complexities of the revalidation process. Our Credentialing team proactively works with partners to ensure the timely submission of all necessary documentation and to help you resolve any issues that may arise. Our expertise allows us to navigate the revalidation process smoothly, ensuring our EMS partners maintain current credentials. Additionally, we stay informed with CMS compliance regulations to quickly adapt to any changes in the revalidation process.
Revalidation doesn’t have to be a source of stress. EMERGICON will partner with you to ensure a streamlined process that minimizes the risk of reimbursement disruptions.
If you have questions regarding revalidation, contact EMERGICON via our EMS & Client Hotline: 866-839-3671 | support@emergicon.com.
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