The New PECOS System for Medicare—What Does This Mean for Billing?
The Provider Enrollment, Chain and Ownership System (PECOS) is a national filing system implemented by Medicare to maintain a listing of those physicians and non-physician practitioners who are eligible to order or refer patients under Medicare . All providers who were being paid by Medicare were to enroll in PECOS by July 6, 2010 in order to continue being paid. Keep in mind even if your providers were already enrolled in Medicare and were being paid previously, they will need to enroll in the PECOS system to continue being paid. The problem that some billers and providers are having is that most were not aware that the PECOS system exists mostly because enrollment was considered voluntary until now. The following resources will provide you with additional information:
- PECOS rule from CMS
- Getting Started Guide (physician enrollment)
- Getting Started Guide (DMEPOS enrollment)
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