cms sends out ‘notice of revocation’ letters related to surety bonds

Recently,  Notice of Revocation letters that were sent by the NSC to several ophthalmic practices. According to the NSC, on August 21, 2009, thousands of letters were mailed to suppliers, including ophthalmologists, whose NSC file indicated a surety bond or accreditation was required. For most practices, the letters were sent because their NSC file did not reflect Ophthalmologist, Physician, or Optometrist—specialties qualifying for the surety bond exemption—but rather listed Optician as the supplier type. For those that did not contact the NSC customer service center to make a correction to their supplier type on form CMS 855S, a Notice of Revocation letter was sent.

According to the NSC, if a supplier has received a Notice of Revocation, they must follow the instructions on the letter by submitting either a Corrective Action Plan (CAP) within 30 days of the postmark of the letter or a Reconsideration within 60 days of the postmark of the letter to avoid revocation and a one-year ban from participation in the Medicare program.  The CAP must specifically state the supplier is submitting a CAP or Reconsideration. The appropriate sections of the CMS 855S form that practices should update to change their Primary Specialty are section 1A, 1B, 1C, 2A1, 2B (Type of Supplier), 3 and Section 15.

ASCRS/ASOA may call the organizaiton’s Government Relations Department at 703-591-2220 if they received an letter and have questions.


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About Arthur De Gennaro

My friends call me Art. Welcome to my blog. In this space you’ll find information and comments on the ophthalmology world, the optical industry, the hearing industry and medical practice management. My intent is to provide information you can use to improve your business and your own performance. Please visit often and feel free to join the discussions by leaving comments.

You can learn more about me and my consulting company, Arthur De Gennaro & Associates, LLC by visiting my web site www.adegennaro.com

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November 2009

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