CMS to ramp up site visits

Tuesday, February 23, 2016

WASHINGTON – CMS will strengthen strategies designed to reinforce provider screening activities by increasing site visits to Medicare-enrolled providers and suppliers, it announced this week. The agency says it will enhance and improve IT systems, and implement continuous data monitoring practices to help make sure practice location data is accurate and in compliance with enrollment requirements. More specifically, CMS says it will use National Site Visit Contractor to increase the number of site visits to Medicare-enrolled providers and suppliers; enhance address verification software in PECOS to better detect vacant or invalid addresses or commercial mail reporting agencies; analyze enrollment data to allow it to identify and deactivate providers meeting specific criteria that have not billed Medicare in the last 13 months; and monitor and identify potentially invalid addresses on a monthly basis through additional data analysis by checking against the U.S. Postal Service address verification database.