Medicare FAQ
Q: What documentation is required for my client MNT sessions?
A: Normal Electronic Medical Record, or paper assessment, evaluation and recommendations. Follow the scope of practice and protocols, they are available through the Academy and Diabetes and Care Practice Group as well as the Renal Nutrition Practice Group.
Q: How long do I have to keep records?
A: 7 years. Information may be archived in your computer and must be retrievable for audit purposes. Some organizations such as regional centers for disabilities may require a 10 year archive of records. Check your agreements/contracts.
Q: Do I have to pay to apply to be a Medicare Provider?
A: No. RDNs have no fees. However, physicians do pay a fee.
Q: How long is the Provider contract valid?
A: Medicare revalidation usually occurs every 5 years for Medicare RDN providers.
Q: What does revalidation involve?
A: Revalidation confirms location of services, names and credentials of provider(s) [if group], business license, etc.
Q: Why do I need to revalidate?
A: Revalidation is mandated by Section 6401 (a) of the Affordable Care Act. ACA requires all existing providers/suppliers to be revalidated under these new screening requirements.
Q: How do I know when I need to revalidate?
A: Look up dates online by your NPI. You won't be listed IF more than 6 months away. https://data.cms.gov/revalidation The data set lists your NPI during the 6 month time frame that is set for YOU. The listings are updated every two (2) months.
Q: How do I revalidate?
A: Option 1: Revalidate online with PECOS (Provider Enrollment, Chain and Ownership System)
Option 2: Revalidate with paper copy mailed/sent via a signature required delivery method (UPS, USPS, FedEx, etc.)
Identify the benefits and challenges of using the PECOS system. Determine what is best for your practice: online or paper/mailing of revalidation papers.
• What to include when applying for Medicare
• What is revalidation
• What is reactivation
• What documents to save
Assistance available with virtual consultations. One complimentary coaching session included. Save time with a personalized assessment for your practice. Determine coaching packages that work best for you.