EHR and practice management for mental / behavioral health

Social worker Medicare re-credentialing by lottery?

We were recently asked: “One of our part-time office support staff persons just told me that Medicare is going to have a recredentialing process for social workers in which you will participate by lottery.  When your number comes up, you will have to pay $500.00 to be re-credentialed.  That is a wallop for the small-time providers.  Have you heard anything about that?”

For questions involving Medcaid or Medicaid, I don’t like to guess or find the information second-hand; I go right to the source and ask them directly.  Here’s the verbatim reply from the CMS (Centers for and Medicare and Medcaid Services) to my inquiry:

“Good morning.  Medicare requires revalidation.  This revalidation is required every 3 to 5 years depending on provider/supplier type.  Medicare will notify you via a revalidation request letter when you are due to revalidate.  There is no lottery.  There is an application fee, which is approximately $523.  The fee is not annual. It is only collected at the time of initial enrollment and during revalidation (every 3 to 5 years, depending on provider/supplier type). However, the fee is only charged to entities.

Institutional entities, groups and DMEPOS supplier entities are charged a fee. Individual practitioners are not charged a fee to enroll in Medicare or revalidate their information. [emphasis mine]

Thank you,

Customer Service

Provider Enrollment Operations Group (PEOG) Centers for Medicare and Medicaid Services (CMS)”

If you ever have a Medicare/Medicaid question that you don’t have the time to research, please email it to me: leighann@pimsyemr.com.  I’m happy to pass it along and post the answer I receive from the CMS.  (You can also send questions about EMR, compliance, PIMSY, or anything else you’d like to get more information about).

As always, visit www.pimsyemr.com for details about our incredible mental health practice management system and EMR.  Contact our Sales Department at 877.334.8512, ext 1, for additional information, to request a free live Web demo of PIMSY, or to get a customized quote.

 

Leigh-Ann Renz is the Marketing & Business Development Director of PIMSY EMR

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