Industry Notes:
Docs' PECOS Status May Doom Your Claim
Published on Fri Jul 10, 2015
Don’t bother appealing claims if they encounter denials for certain PECOS errors, HHH Medicare Administrative Contractor Palmetto GBA says on its website. If your referring/ordering physician does not have a PECOS record, the denial is “not reversible,” Palmetto says. The same goes if the doc isn’t of a specialty eligible to order home health, or “the PECOS physician file has [...]