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
PECOS
CMS Call on Medicare Provider Enrollment (Oct. 10)
By Debra A. McCurdy on
On October 10, 2012, CMS will hold a National Provider Call on Medicare Provider Enrollment. The call will cover the following topics: Revalidation; Billing for Ordered/Referred Services; and PECOS Enhancements. Registration is required.
CMS Continues to Delay Implementation of PECOS Ordering/Referring Claim Edits
By Debra A. McCurdy on
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 Sets July 5, 2011 Target for Implementation of PECOS Ordering/Referring Edits
By Debra A. McCurdy on
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…
CMS Update on PECOS & Ordering/Referring Edits
By Debra A. McCurdy on
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 Delays PECOS Enrollment Requirement for Ordering Physicians
By Debra A. McCurdy on
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…
PECOS Enrollment Required for Medicare Electronic Health Record (EHR) Incentive Program
By Debra A. McCurdy on
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…
Internet-Based PECOS for DMEPOS Suppliers
By Debra A. McCurdy on
CMS has implemented an on-line system whereby DMEPOS suppliers who are eligible to enroll in Medicare may use the internet-based Provider Enrollment, Chain and Ownership System (PECOS) to submit enrollment applications, update enrollment information, or re-enroll in Medicare, beginning July 13, 2010.
PECOS Enrollment Requirement for Ordering Physicians Delayed Until January 3, 2011
By Debra A. McCurdy on
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…