Change of Ownership Requests - Update to Crosswalk Request
Change of Ownership (CHOW) means, the removal, addition, or substitution of a partner, the merger of the provider corporation into another corporation, or the consolidation of two or more corporations. The most common example of a CHOW occurs when a provider's CMS Certification Number (CCN), Provider Transaction Number (PTAN) or Medicare ID are bought by another entity. This is what is known as a buyer/seller CHOW.
Effective May 15, 2017 MACs no longer can request an update to re-open the claims crosswalk to assist the seller with cleanup claims. The buyer and seller are responsible for working together on payment arrangements for the seller's claims once the CHOW is approved. This will apply to any application received on or after May 15, 2017.
This will not immediately apply to any CHOW application received before May 15, 2017. These enrollments are still able to request a crosswalk re-opening from either the Enrollment Call Center or the representative processing the application.
The request to update/re-open the crosswalk, will end on December 31, 2017. The manual matches that are currently made are valid for 90 days, from the date CMS updates/re-opens the crosswalk; or until December 31, 2017. After December 31, 2017, manual matches will no longer be available in the system for any circumstances.
The key to a CHOW is the finalized approval from the CMS Regional Office (RO). The seller is still able to submit claims and be paid until the application has been approved by CMS and finalized by the Medicare Administrative Contractor (MAC) in the Provider Enrollment, Chain and Ownership System (PECOS). If there are remaining claims that need to be submitted for the seller, while the CHOW is in process; these claims need to be submitted as soon as possible. Once Provider Enrollment receives the tie-in notification from the CMS RO, the seller is deactivated and is no longer able to submit claims. The buyer will now be in PECOS and be authorized to submit all claims and will receive all payments.
Noridian feels it is important for both parties to be aware of these system change so they may consider the impact when finalizing their terms of sale agreement.
If unsure how to complete a CHOW, or buyer/seller application; there are Enrollment on Demands (EoDs) that can be viewed that give you step by step on how to complete the application correctly the first time.
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Last Updated Jan 22, 2018