Medicare requires institutional providers — including home health and hospice agencies — to revalidate their enrollment (Form CMS-855A, usually through PECOS) on a cycle that’s generally every five years. Miss your revalidation due date and CMS can deactivate your billing privileges, which stops your payments until you’re reinstated.
Revalidation is CMS re-confirming that everything in your Medicare enrollment is still accurate — ownership, managing employees, practice locations, and the financial and organizational details on file. Institutional providers file it on Form CMS-855A.
CMS assigns revalidation due dates on a roughly five-year cycle and posts them; you’ll also get a notice. Don’t wait for the letter — check your due date in PECOS, because a missed date can lead to deactivation of your billing privileges.
NavSuccess does this for home care & healthcare agencies — see Fractional CFO & advisory.
Institutional providers generally revalidate every five years; CMS sets and publishes your specific due date.
CMS can deactivate your billing privileges. You keep your enrollment record but can’t bill until you’re reactivated — a real cash-flow gap.
Institutional providers generally owe an enrollment application fee at revalidation; the amount is set by CMS annually.
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