CMS Begins New Rebuttal Process For Medicare Providers

Starting Dec. 31, 2019, the Center for Medicare and Medicaid Services (CMS) began a new rebuttal process for providers whose Medicare enrollments have been deactivated. Providers who file a rebuttal to challenge their deactivation should demonstrate that they meet all applicable enrollment requirements and that their Medicare billing privileges should not have been deactivated.

Enrollments that are deactivated for the following reasons can be challenged through the new rebuttal process:

  • The provider or supplier did not submit Medicare claims for 12 consecutive calendar months
  • The provider or supplier did not report a change of information within 90 calendar days of when the change occurred or within 30 days of an ownership change
  • The provider or supplier did not respond to a revalidation request letter or to a request for corrections on a revalidation application
  • The provider or supplier is in an approved status but doesn't have any practice location or active reassignment for 90 calendar days

All rebuttals must be submitted within 20 days from the date of the deactivation notice. Learn more.

Keywords: ACC Advocacy, Medicare, Centers for Medicare and Medicaid Services (U.S.), Medicaid

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