WILEMS RESOURCE GROUP
HEALTH CARE Compliance & engagement Solutions
Since the start of the Centers for Medicare & Medicaid Services (CMS) Medicare Revalidation Process, Wilems Resource Group has recommended that ACOs utilize the Medicare Revalidation Website to monitor revalidation due dates and distribute reminders to ACO Participating Providers. This recommendation was based on the idea that ACOs have a need to ensure that Providers maintain their Medicare Enrollment status, and thus their eligibility to participate in the ACO.
CMS has recently confirmed that recommendation, stating on the January 8th “Medicare Shared Savings Program Kick-Off Webinar for the 2018 Performance Year” that ACOs have an obligation to ensure that Providers complete the Medicare Revalidation Process. In an effort to understand the details around this obligation, Wilems Resource Group contacted CMS, their response consisted of three main points:
While CMS recommends that ACOs proactively obtain documentation of the successful revalidation, they acknowledge that this is not required. Moreover, this is a large administrative burden for many ACOs and prohibitive for some. Wilems Resource Group recommends the following steps be taken to encourage successful completion of the Medicare Revalidation Process: