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Tuesday, May 14, 2013

Mandatory Revalidation, PECOS, CMS-855, and CMS-588

May 13, 2013
Chiropractic Medicare
Mandatory Revalidation
Many fellow Chiropractors across the states are receiving a Provider Enrollment Revalidation Request from your Medicare Carrier. They are asking us to immediately submit updated Provider Enrollment Paper Application 855 form or Review, Update and Certify information via the internet-based PECOS System.

The Patient Protection and Affordable Care Act, Section 6401, says all new and existing providers must be reevaluated under the new screening guidelines. Medicare requires all enrolled providers and suppliers to revalidate enrollment information every five (5) years. Upon the CMS request to revalidate it’s enrollment, the provider has 60 days from the postmark date of your official letter from your carrier to submit complete enrollment information using one of the following methods:

1. Internet-based Provider Enrollment, claim, and Ownership System (PECOS).

2. Paper Application Form CMS-855.

The new Electronic Funds Transfer (EFT) authorization form CMS-588 is now required to be part of the revalidation package. (for both participating and non-participating providers.)

CMS-588 form can be found at

Have questions in regards to doing Chiropractic Medicare correctly, or becoming Medicare Compliant? Give me a call at (618) 395-3800. Learn the correct way to "Document The Chiropractic Necessity of Care." WE WILL DO OUR BEST TO HELP YOU.

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