04/12/2024

New Provider Enrollment Resources Available; Feedback Needed from Suppliers

The DMEPOS industry currently operates with five contractors overseeing provider enrollment matters.

Two provider enrollment contractors:

• Novitas for the eastern region
• Palmetto GBA for the western region

Two site visit contractors:

• Deloitte for the western region
• Palmetto GBA for the eastern region

Additionally, a new contractor, C-HIT, handles appeals and rebuttals.

These recent changes and additions have introduced challenges for suppliers, including application and revalidation backlogs, as well as concerns with the training of new staff at the contractors. It is imperative for suppliers to keep their Medicare enrollment applications (Form 855S) up to date. The inclusion of C-HIT as the appeals and rebuttals contractor has added complexity to the enrollment process, making it more challenging for suppliers to navigate.

To document and assess the challenges faced by suppliers, the Advisory Council for Enrollment has developed two web-based forms for suppliers to report issues they encounter. Suppliers experiencing difficulties with the provider enrollment contractors are strongly encouraged to utilize these forms for tracking and trending purposes. You can access the forms through the provided links to submit your concerns as needed.

• Form for Site Inspection Issues: SITE INSPECTION TRACKING FORM(Google form)
• Form Appeals and Rebuttals Issues: APPEALS & REBUTTALS TRACKING FORM(Google form)