On November 15, 2013, CMS is hosting a provider call to discuss recent changes in the way providers and suppliers access the Provider Enrollment Chain and Ownership System (PECOS), the Electronic Health Records (EHR) Incentive Program, and the National Plan and Provider Enumeration System (NPPES).   These updates are intended to facilitate registration as an individual

As previously reported, CMS has repeatedly delayed its timeline for implementing claims edits that will deny Medicare payment for claims for services ordered or referred by a physician or other eligible professional who does not have an approved file in PECOS. Most recently, CMS backed off its July 5, 2011 implementation “placeholder date,” announcing that

CMS has issued a new transmittal to update its timeline for implementing claims edits that will deny claims for services ordered or referred by a physician or other eligible professional who does not have an approved file in PECOS. The transmittal confirms an earlier CMS list-serve announcement that CMS will not implement the edits

In a November 24, 2010 list-serve announcement, CMS confirmed that it has not yet activated automated edits that will deny claims for services ordered or referred by a physician or other eligible professional who does not have an approved file in PECOS. CMS notes that it “is working diligently to resolve backlog and other systems

CMS has announced that it is not implementing at this time changes that would have automatically rejected certain Medicare claims based on orders, certifications, and referrals made by providers that have not had their PECOS enrollment applications approved by July 6, 2010. Nevertheless, the Affordable Care Act provides that only a Medicare enrolled physician or

On June 11, 2010, CMS announced that Provider Enrollment, Chain and Ownership System (PECOS) records will be used to verify Medicare enrollment prior to making Medicare EHR incentive payments. While additional details on the EHR incentive program will be provided in an upcoming final rule, CMS is encouraging providers to act now to ensure that

Today CMS announced that it is delaying until January 3, 2011 its controversial policy under which it will institute edits to deny Medicare claims for Part B items and services if the physician or non-physician practitioner who ordered the item or service does not have a current enrollment record. CMS considers a current enrollment record