Not Updating Provider Enrollment Records Could Result in Suspended Payments

Thoughtware Alert Published: Mar 21, 2022
Long-Term Care workers helping patient walk.

CMS recently began a new initiative tasking the Medicare Administrative Contractors (MAC) with cross-matching providers’ Medicare enrollment records to the Social Security Administration’s (SSA) records of deceased individuals. 

Providers are being notified by their MAC when authorized officials, board members, and members of management are cross-matched to the SSA’s death index. When this happens, the providers are instructed that if they do not update their records in the Provider Enrollment, Chain, and Ownership System (PECOS) within 25 days of written notice, their billing privileges will be deactivated. 

We suggest you regularly check your provider enrollment records for updates—not just for deceased members, but also for changes in management, board members, and authorized and delegated officials. Making it a practice to review this information at least quarterly will help keep your provider information up to date and accurate. 

If you received one of these notices and are uncertain how to respond or want assistance in implementing practices to help prevent penalties, please contact your advisor or submit the Contact Us form below. 

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