Change of Ownership (CHOW) Consulting
Transfer your DME business ownership without losing billing privileges, PTAN access, or accreditation status.
Don’t Risk Losing Your PTAN
What Is a CHOW and Why It Matters for DMEPOS Suppliers
A Change of Ownership (CHOW) occurs when control or structure of a DMEPOS business changes—whether through sale, partner buyout, merger, or corporate restructuring. Unlike general business transfers, CHOWs are subject to strict CMS, PECOS, NSC, and accreditation body requirements.
If mishandled, a CHOW can trigger PTAN deactivation, accreditation suspension, or claim denials. We guide you through every requirement—before, during, and after your ownership transfer—so you stay compliant and avoid disruption.
Common Pitfalls & Costs
Where CHOW Transitions Fail—and How We Keep You on Track
Most DME businesses don’t realize how much Medicare oversight is triggered by a change in ownership. Without expert planning, providers risk losing their ability to bill, distribute, or maintain accreditation. Here’s what often goes wrong:
CHOW Filing Mistakes
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Incorrect Transaction Type
Improperly classifying the sale as a stock vs. asset transfer can lead to CMS rejections. -
Late CMS Notification
CMS requires CHOW filings within 30 days of the effective date—miss the window, and your PTAN may be deactivated. -
Inconsistent Ownership Documentation
Mismatches between CMS-855S, PECOS, and NPPES cause application returns and status delays. -
Accreditation Gaps
If the new owner doesn’t meet accreditor standards or update control documents, accreditation may be suspended.
How We Manage CHOW Compliance
THE PROCESS
How Our CHOW Consulting Works
01.
CHOW Evaluation & Planning
We evaluate the type of ownership change and outline all steps, from buyer/seller documentation to CMS filing strategy.
CMS-855S Completion & Filing
We prepare and submit the CHOW section of the CMS-855S form, along with any required state notifications.
02.
03.
PECOS & NPI Record Alignment
We align all records across CMS, PECOS, and the NPI registry to reflect updated control, contact, and managing party information.
Reduce CMS errors and protect your revenue
CHOW Consulting Benefits
Avoid billing disruptions, stay licensed, and transition control without delays.
Selling or acquiring a DME company? Let us manage the CHOW correctly.
Contact Us
Let's Talk Compliance
Clear answers for DME businesses changing ownership
Frequently Asked Questions About CHOW
What qualifies as a CHOW under CMS guidelines?
Any sale, stock transfer, partner buyout, or structural change where control of the DMEPOS supplier changes requires a CMS-855S CHOW filing.
How soon must I notify CMS of a CHOW?
You must submit the CMS-855S Change of Ownership within 30 days of the ownership change effective date.
Can I bill Medicare during a CHOW?
Yes—if the PTAN remains active and CMS confirms no interruption, billing may continue during processing. We help you maintain status throughout.
What happens if I file the CHOW late?
Late CHOW filings can lead to PTAN deactivation, suspended claims, or revoked enrollment. We ensure deadlines are met and tracked.
Do both buyer and seller need to be involved?
Yes. CMS requires signatures, supporting documents, and historical data from both parties to process a CHOW properly.