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Medicare Revalidation Services & PECOS Compliance Management

Billing privileges deactivated due to a missed 5-year revalidation letter? Or stuck in the PECOS portal with pending MAC corrections? We execute emergency electronic reactivations and direct MAC liaison escalations to restore your Medicare billing numbers fast.

CMS-855 Revalidation
MAC Jurisdiction Expertise
Deactivation Prevention
EFT/ERA Setup
100% Primary Source Verification (PSV)
24–48h Setup · Active 7–10d Follow-Ups
Dedicated Credentialing Specialist
Bi-Weekly Status Reports & Payer Logs

Medicare Privilege Rescue

Speak directly with a Senior Medicare Specialist.

HIPAA-compliant · Secure Submission
< 24 Hrs
Emergency Filing Window
99.4%
First-Pass MAC Acceptance
15–30
Avg. Reactivation Days
12
MAC Jurisdictions

The Anatomy of a Medicare Deactivation Emergency

CMS mandates that all Part A, Part B, and DMEPOS providers revalidate enrollment every 5 years. When notices go to outdated addresses or staff miss deadlines, the consequences are immediate and severe.

Instant Claim Rejections

The moment a deactivation date passes, your Medicare PTAN is paused. Every Medicare Part B, Medicare Advantage, and secondary crossover claim is rejected with zero payment remittance.

The 30-Day Retroactive Cap

Under 42 CFR § 424.520, CMS strictly limits back-billing to 30 days before your reactivation application is received by the MAC. Delays in filing cause permanent, unrecoverable revenue write-offs.

Group Reassignment Breaks

When an individual provider deactivates, all CMS-855R group reassignments collapse immediately. The group practice cannot bill under its Type 2 NPI for that provider until full reactivation occurs.

5 Pillars of Our Medicare Revalidation Service

We handle every layer of PECOS data verification, supporting documentation, MAC liaison communications, and claims hold coordination.

CMS-855I & 855R Filings

Full preparation and electronic PECOS web-submission for individual physicians, NPs, PAs, LCSWs, including group reassignments.

CMS-855B Group Revalidations

Complex organizational enrollment updates for single-specialty clinics, multi-specialty medical groups, ASCs, and urgent cares.

Direct MAC Liaison & Escalation

We communicate daily with provider enrollment coordinators at Novitas, Noridian, NGS, Palmetto, WPS, and First Coast.

CMS-588 EFT Bank Updates

Prevent payment suspensions caused by bank changes. We ensure direct deposit authorizations and 1099 TIN matches remain synchronized.

Retroactive Billing Defense

Maximize your retroactive billing effective date, guiding your billing team on managing held claims and preventing clearinghouse denials.

Case Study · Emergency Recovery

A busy cardiology group in FL missed their 5-year Medicare revalidation notice. Their Medicare PTAN numbers were deactivated without warning, freezing $185,000 in monthly Medicare Part B collections. Within 24 hours of engagement, Exp submitted electronic filings. Through daily First Coast coordinator follow-up, full billing privileges were restored in 19 days—preserving 100% of their retroactive billing claims.

$185k
Revenue Protected
19
Reactivation Days
100%
Retro Claims Paid

Medicare Administrative Contractor (MAC) Matrix

Every MAC operates under distinct operational queues and development guidelines. We navigate all regional contractors daily.

Medicare Contractor (MAC) Jurisdiction Codes States Covered Typical MAC Queue Exp Expedited Time
Noridian Healthcare Solutions JE & JF CA, NV, HI, AZ, WA, OR, ID, MT, ND, SD, UT, WY, AK 60–90 Days (Paper) 14–25 Days (PECOS Web)
Novitas Solutions JH & JL TX, AR, LA, OK, CO, NM, PA, NJ, MD, DE, DC 60–75 Days 15–28 Days
National Government Services (NGS) J6 & JK NY, CT, MA, RI, VT, ME, NH, IL, MN, WI 60–90 Days 15–30 Days
Palmetto GBA JJ & JM GA, NC, SC, TN, VA, WV, AL 45–75 Days 14–24 Days
WPS Government Health J5 & J8 IN, MI, IA, KS, MO, NE 60–80 Days 15–28 Days
First Coast Service Options (FCSO) JN FL, PR, USVI 60–90 Days 15–30 Days

Our 4-Phase Medicare Reactivation Protocol

When billing privileges are down, every hour matters. Here is how we take you from deactivation to active billing status.

1

Status Triage & Audit

We query PECOS, determine the exact deactivation trigger date, verify NPI/TIN alignment, and calculate your 30-day retroactive billing window.

2

Application Prep & Signing

We draft complete CMS-855 electronic packets, upload required licenses, and coordinate digital provider signature.

3

Direct MAC Follow-Up

We obtain your Document Control Number (DCN) within 48 hours and conduct direct coordinator outreach to bypass standard wait queues.

4

PTAN Active & Claim Release

Upon receiving your MAC approval letter, we verify PTAN activation in PECOS and give your billing team the green light to release back-claims.

Medicare Revalidation & Reactivation FAQs

Everything you need to know about protecting your Medicare billing numbers.

Standard paper applications submitted to Medicare Administrative Contractors (MACs) take 60 to 90 days. Through Exp's direct PECOS web-submission protocol and daily coordinator follow-up, our emergency reactivations average 15 to 30 business days.
CMS regulations (42 CFR § 424.520) strictly limit retroactive billing to 30 days prior to the date the reactivation application is officially received and accepted by the MAC. Any claims dated prior to that 30-day window cannot be paid, which is why immediate filing is crucial.
Deactivation occurs when a revalidation deadline is missed or no claims are submitted for 12 months; billing privileges are paused but can be restored by submitting a complete CMS-855 reactivation application. Revocation is a disciplinary action with an enrollment bar ranging from 1 to 10 years.
CMS issues a revalidation notice 60 to 90 days prior to your due date, but notices frequently get lost due to outdated physical or email addresses in PECOS. You can search the CMS Revalidation List tool or have Exp perform a comprehensive enrollment audit across all provider NPIs.
When an individual physician's PTAN is deactivated, all associated group billing reassignments under CMS-855R instantly break. Claims submitted under the group NPI for that provider will be rejected until the individual PTAN is reactivated and reassigned.
Yes. If your banking details, bank branch address, or legal corporate name have changed since your initial enrollment, CMS requires a CMS-588 EFT authorization form accompanied by a voided check or certified bank letter.
Your MAC depends on your practice location and provider type: Noridian (West/Northwest), Novitas (Mid-Atlantic/South Central), National Government Services (Midwest/Northeast), Palmetto GBA (Southeast), WPS Government Health (Midwest/Central), or First Coast (Florida/Puerto Rico). We work directly with all jurisdictions.
Our Managed Credentialing Service actively monitors CMS revalidation databases, tracks upcoming 5-year expirations 6 months in advance, audits PECOS contact emails, and prepares pre-populated revalidation filings before your 60-day window closes.

Restore Your Medicare Billing Privileges Immediately

Do not let a missed revalidation stall your practice revenue. Let our dedicated Medicare enrollment team submit your PECOS filing within 24 hours.