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Revalidation of Provider Enrollment Information

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

Revalidation of Provider Enrollment Information
Existing regulations require that at the time of enrollment, enrollment change request, or revalidation, providers who expect to receive payment from Medicare for services provided must also agree to receive Medicare payments through electronic funds transfer (EFT). The “Patient Protection and Affordable Care Act” (PPACA, Pub. L. 111-148) further expands the Social Security Act by mandating federal payments to providers only by electronic means. As part of the Centers for Medicare and Medicaid Service’s revalidation efforts, all providers who are not now receiving EFT payments are required to submit the CMS-588 EFT form with the Provider Enrollment Revalidation application, or at the time any change is made to the provider enrollment record by the provider or supplier, or delegated official. For more information about provider enrollment revalidation you may view a document entitled, “Further Details on the Revalidation of Provider Enrollment Information,” available at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1126.pdf.