After ICD-10 went live on October 1, 2015; CMS (Centers for Medicare and Medicaid Services) allowed a one year grace period for ICD-10 flexibility, to overcome the strong opposition from the AMA (American Medical Association) to ICD-10 implementation. For the one year period, even though a more specific code existed, CMS allowed healthcare providers to submit claims with a valid code from the ICD-10 three character category,
As per Section 6401 (a) of the Affordable Care Act, all enrolled providers and suppliers are required to revalidate their Medicare enrollment information under the new enrollment screening criteria.
The Revalidation Process
- Determine which provider is being requested to revalidate
- View the information checklist
- Revalidate using Internet-based PECOS or by completing the appropriate CMS-855 application
- Check your application status
PECOS is the most efficient way to submit your revalidation information.