Nursing homes must prepare for the off-cycle revalidation process mandated by the Centers for Medicare and Medicaid Services (CMS). Otherwise, you risk losing your billing privileges.
With the additional paperwork, CMS aims to improve the accuracy and transparency of Medicare enrollment information in line with new reporting requirements finalized in 2023.
According to analysts at Clifton Larsen Allen (CLA), reactivation notices are sent out by Medicare Administrative Contractors (MACs), with one-third of SNFs receiving them in October and the rest in November or December. It's planned.
Facilities have 90 days from the date of notification to submit updated information using the revised Form CMS-855A. This form includes sections that collect detailed ownership, control, and related party transaction data and reflects increased CMS oversight. SNF operations, particularly with respect to private equity firms and real estate investment trusts.
Failure to comply with the new requirements may result in deactivation of your facility's provider registration status and loss of billing capabilities.
In addition to this mandatory revalidation, CMS is requiring that starting October 1, a new section will be required for all provider registration transactions, including initial registration, revalidation, and change of ownership.
Facilities with pending transactions prior to this date must update their filings accordingly.
