Important Update on CMS Contractor Site Visits
Not sure if that CMS site visit is legit? Let’s clear up the confusion!
Recently, we’ve heard reports from concerned providers questioning the legitimacy of CMS contractor site visits. After investigation into this matter we can confirm that these site visits are, in fact, authorized and legitimate. Here’s what you need to know to feel secure if you’re approached for a CMS site visit:
What to Expect:
According to CMS’s MLN Connects Newsletter (06/20/2024), these visits verify the operational status of providers and suppliers as part of their enrollment. Inspectors will carry a photo ID and a CMS-issued letter of authorization, which you may review but not retain or copy.
What You Need to Know:
- Verification Contacts: CMS has designated contractors for these site visits. Providers on the East Coast will be visited by contractors like Palmetto GBA and its affiliates, while West Coast providers are managed by Deloitte Consulting and its affiliates.
- Notice and Records: You may not receive advance notice for these visits, but your enrollment record in the Provider Enrollment, Chain, and Ownership System (PECOS) will reflect that a visit was ordered, ensuring it’s an official request.
- Contact Information: If you’re uncertain about a visit, you can contact your Medicare Administrative Contractor (MAC) directly. The Medicare Fee-for-Service Provider Enrollment Contact List offers MAC contact details for verification.
Have Questions? We’re Here to Help!
If you have concerns or need assistance verifying the authenticity of a site visit, please reach out. Celtic Consulting is here to support you in navigating this process confidently.
