Medicare Providers and Suppliers Revalidation Due Date List 2016

$199 / year

This dataset conisists of a list of due dates by which the provider/supplier’s revalidation application must reach their MAC (Medicare Administrative Contractor) in order for them to remain in compliance with Medicare’s provider enrollment requirements.

Complexity

Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. CMS has completed its initial round of revalidations and will be resuming regular revalidation cycles in accordance with 42 CFR §424.515. In an effort to streamline the revalidation process and reduce provider/supplier burden, CMS has implemented several revalidation processing improvements one of which is established due dates by which the providers/suppliers must revalidate.

CMS has established due dates by which the provider/supplier’s revalidation application must reach their MAC (Medicare Administrative Contractor) in order for them to remain in compliance with Medicare’s provider enrollment requirements. The due dates will generally be on the last day of a month (for example, June 30, July 31 or August 31). Providers/suppliers must submit their revalidation application to their MAC within 6 months of due date to avoid a hold on their Medicare payments and possible deactivation of the Medicare billing privileges. Generally, this due date will remain with the provider/supplier throughout subsequent revalidation cycles.

– Due Dates are updated every 60 days at the beginning of the month
– Due Dates are listed up to 6 months in advance
– Due Dates that are not yet assigned will be listed as TBD – To Be Determined (more than 6 months until the due date
– Durable Medical Equipment Prosthetic and Orthotic Supplies (DMEPOS) suppliers will not display a due date; instead, DMEPOS suppliers will receive communication from the National Supplier Clearinghouse (NSC) identifying when their revalidations are due.

Date Created

2016-02-4

Last Modified

2016-07-05

Version

2016-07-05

Update Frequency

Semimonthly

Temporal Coverage

2016-03-01 to 2017-01-31

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Medicare Providers and Suppliers Revalidation, Medicare Revalidation Due Date List 2016, Medicare Providers and Suppliers, CMS Data, Medicare Revalidations, Medicare Enrollment

Other Titles

Medicare Enrollment Revalidation Due Date List for Providers and Suppliers 2016, Medicare Providers and Suppliers Revalidation Due Date

Name Description Type Constraints
Enrollment_IdThe provider's ID in PECOS for the enrollment record. I = individual, O = organizationstringrequired : 1
National_Provider_IdentifierUniversal identifier of healthcare providers. Also called NPIintegerlevel : Nominal
First_Name_of_Individual_ProviderFirst name of the provider (individuals only). This field is only populated for practitioner enrollments, which are identified by the first character of Enrollment_id being 'I'.string-
Last_Name_of_Individual_ProviderLast name of the provider (individuals only). This field is only populated for practitioner enrollments, which are identified by the first character of Enrollment_id being 'I'.string-
Name_of_Organizational_ProviderLegal business name of the provider (organizations only). This field is only populated for organizational enrollments, which are identified by the first character of ENRLMT_ID being 'O'.string-
State_AbbreviationCode for the US state of the Medicare contractor that assisted in the enrollmentstringrequired : 1
Enrollment_SpecialtyIdentifies the Physician or Non-Physician's specialtystring-
Revalidation_Due_DateDate by which the Provider has to revalidate their enrollment in PECOSdate-
Number_of_Benefits_Reassignment_by_Organizational_ProviderTotal number of benefits reassigned by the provider organizationintegerlevel : Ratio
Number_of_Benefits_Reassignment_by_Individual_ProviderTotal number of benefits reassigned by the individual providerintegerlevel : Ratio
Enrollment_IdNational_Provider_IdentifierFirst_Name_of_Individual_ProviderLast_Name_of_Individual_ProviderName_of_Organizational_ProviderState_AbbreviationEnrollment_SpecialtyRevalidation_Due_DateNumber_of_Benefits_Reassignment_by_Organizational_ProviderNumber_of_Benefits_Reassignment_by_Individual_Provider
O20120702000383YONG W JEONGTXOther
O20100930036342RICK QUINNMSPharmacy
O20050802001054WVHCS-HOSPITALPAOther
O20100930036014BARRON LANGCAPharmacy
O20100930042879GARY WILSONTNPharmacy
O20100930073321RONG G YANGCAPharmacy
O20111026000191ANNE TRUONGWAPharmacy
O20140626000802NIDHU KURUPTXHospice
O20160212001936JAMES DOYLEWIOptician
O20110801000324HOA D NGUYENCAPharmacy
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