Provider Enrollment Handout - Palmetto GBA
Provider Enrollment Handout - Palmetto GBA
Provider Enrollment Handout - Palmetto GBA
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CAP vs. Reconsideration□ CAP = Corrective Action Plan□ Allows provider to correct deficiencies with originalsubmission□ Must submit all missing information with CAP form within 30days□ Application will be reopened and effective date preserved□ Reconsideration = Appeal of <strong>Enrollment</strong> decision□ Allows provider to dispute decision□ Details provided in approval/denial letter□ <strong>Provider</strong> must submit letter detailing why decision was notcorrect within 60 days□ Both can be submitted concurrentlyRevalidation Activities CMS initiatives or Contractor discretion <strong>Provider</strong> must submit a completeenrollment package Ensures all information is up to date inthe enrollment system Effective Date will not changeSpeaker Note: When should you revalidate? Every 5 years if no changes to practice.15
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