CGS-Revalidation-Warning

Notice to CGS Home Health Agencies

CGS Revalidation Reminder.

As a provider of leading-edge home health and hospice software, HEALTHCAREfirst, Inc., would like to bring to your attention an article published recently by NAHC in which providers are notified of the revalidation deadline on February 27th, 2012. We would like to share the article with you below for those that may have missed it.

Warning Issued to CGS Home Health Providers That Have Not Revalidated

The Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC) for Colorado, Delaware, DC, Iowa, Kansas, Maryland, Missouri, Montana, Nebraska, N Dakota, S Dakota, Pennsylvania, Utah, Virginia, West Virginia, and Wyoming issued an urgent notice to the home health agencies in Jurisdiction 15 that have not completed revalidation of their provider agreement reminding them that the deadline is February 27th 2012.

CGS mailed revalidation notices to all providers who were not in the Medicare Provider Enrollment, Chain and Ownership System (PECOS) in September, 2011. Revalidation by these agencies has been completed.

In December 2011, CGS mailed revalidation notifications to the remainder of its home health providers (i.e. those that were already in the PECOS system). According to CGS, the February 27th revalidation deadline is quickly approaching but they have received only 10% of required enrollment revalidations.  Failure to submit completed revalidation by the February 27th deadline may result in deactivation of Medicare billing privileges.  For providers who are unable to meet the deadline, a one-time 60-day extension may be requested.

In order to view their PECOS file, providers must have completed the security consent form process. Providers that have submitted their security consent form but still cannot view their existing enrollment in PECOS should contact the CMS External User Services (EUS) Help Desk at (866) 484-8049 for guidance.

Electronic revalidation via PECOS is not required. Any provider may file revalidation via a paper 855A. CGS staff will enter the information submitted into PECOS for them. However, the paper 855A must be completed in full. In addition, even if filing via paper, providers that do not have a security consent form must complete the consent form process in order to be able to view their PECOS file and make future changes in PECOS. The security consent approval process takes approximately 2-3 weeks.

IMPORTANT CONSIDERATIONS

  • For providers who cannot access their PECOS file, submitting information in PECOS as a new provider will cause the system to identify the application as a duplicate and reject the information
  • ALL applicable sections, except sections 2F. 2G. and 2H must be completed.
  • Vehicle information may be identified as N/A or No vehicles.
  • Information from all managing employees and members of the board of directors is required (except for county boards of health).

REVALIDATION EXTENSION

To request an extension to the February 27th deadline, the provider’s Authorized Official must submit a letter on letterhead addressed to “Revalidation Extension Request” and fax to the CGS HHH Provider Enrollment department at (515) 471-7477. Providers requesting an extension should retain their fax confirmation as verification of receipt of their request by CGS. No further confirmation will be issued

PROVIDER FEE HARDSHIP EXCEPTION
A hardship exception may be submitted by providers who are unable to pay the enrollment fee.  However, until the fee is paid, the enrollment application is not considered as received.  Refer to FAQ # 14 at https://www.cgsmedicare.com/hhh/education/faqs/PER.html#13 or the Medicare Learning Network (MLN)® article MM7350 at https://www.cms.gov/MLNMattersArticles/downloads/mm7350.pdf for more information about submitting the hardship exception.

CGS HELP

Detailed information about revalidation requirements and procedures can be found on the CGS Provider Enrollment Revalidation Web page.

CGS has also posted Frequently Asked Questions (FAQs) here.

If questions remain after reading the information on the CGS website call the CGS Provider Contact Center (PCC) at 1-877-299-4500.

February 23, 2012

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