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How Nursing Homes Can Avoid Medicare Billing Suspension Under CMS’s New Revalidation Rule

Serj Mooradian and Seyed Mirabedini, Mooradian Law PLLC / March 4, 2025

Skilled Nursing Facilities (SNFs) must navigate an increasingly complex regulatory environment, and the latest changes from the Centers for Medicare & Medicaid Services (CMS) are no exception. As part of its ongoing efforts to enhance transparency and oversight, CMS has updated Form CMS-855A, requiring SNFs to undergo an off-cycle revalidation by May 1, 2025.

Failure to comply with these new requirements could jeopardize Medicare billing privileges, disrupt cash flow, and force facilities into a costly reapplication process. Below, we break down what’s changing, how to stay compliant, and steps your facility should take now to avoid any billing suspensions.

Why the Change? Increased Scrutiny on SNF Ownership

CMS has intensified its focus on

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