Advanced Search

Home Health & Hospice Week

Enrollment:

Your PECOS Edit Concerns May Be Over

Published on Tue Aug 23, 2011

At the very least, claims rejections from PECOS edits should be greatly reduced when they hit. Home care providers might have more luck with getting their referring physicians to enroll in PECOS now that Medicare and its contractors are pushing the point. "You have no doubt heard that [the Centers for Medicare & Medicaid Services] is requiring that all Medicare providers revalidate their Medicare provider enrollment information," said National Government Services' Jim Bavoso during a Part B Jurisdiction 13 Ask the Contractor Teleconference, hosted by NGS on Sept. 13. "In a nutshell, CMS is asking any provider who is not currently in the PECOS system to enroll, and to do it quickly." Docs don't have to do anything about PECOS at the moment -- instead, they are waiting for their carriers to send them a letter. The MACs have identified all of the providers that aren't in PECOS, and each MAC [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All