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Pillar i · Start-up, Credentialing & Enrollment
i
Billing privileges begin at enrollment — and a lapse turns delivered care into unbillable visits.
Agency start-up · enrollment · revalidation · CHOW
Agency start-up · enrollment · revalidation · CHOW
Reimbursement starts before the first claim — with a clean PECOS record, current revalidations, and correct ownership and reassignment data. A missed revalidation, an unreported managing-employee change, or a stalled enrollment doesn’t just risk a denial; it deactivates billing and converts weeks of delivered care into write-offs. Right now the stakes are higher still: a nationwide Medicare enrollment moratorium freezes new home health and hospice agencies and restricts certain changes of ownership.
The engagement
Regulatory context
Enrollment has become enforcement’s front door. CMS imposed a nationwide six-month moratorium on new home-health and hospice Medicare enrollment on May 13, 2026 (FR Doc. 2026-09717), restricting certain changes in majority ownership with it — and a separate DMEPOS supplier moratorium has run since February 27, 2026 (91 FR 9855). For everyone already enrolled, revalidations and accurate PECOS data are what keep billing privileges alive: a missed deadline deactivates billing and converts delivered care into write-offs.
The throughline: enrollment, revalidation, and CHOW timing are now strategic decisions made against an active integrity regime — not administrative tasks.
Questions
Related provider types
30 minutes. No pitch. We open the case file together — and recommend the next step.