Medicare Compliance & Reimbursement

CMS still wants your certification statements. Medicare carriers are just as eager as you are for your PECOS applications to be processed quickly. One large Medicare payer aimed to clear up confusion about the internet-based provider, enrollment, chain and ownership system (PECOS). During a June 24 "Ask the Contractor" call, payer officials from National Government Services (NGS), a Medicare carrier in 20 states, reminded practices that Medicare contractors maintain different CMS-855 enrollment forms depending upon your practice type, said Lindy Lady of NGS's provider outreach and education department, during the call. For instance: The CMS-855I applies to individual physicians or nonphysician practitioners (NPPs), whereas CMS-855B is for group practices or other organization suppliers, other than durable medical equipment suppliers. "PECOS allows physicians and nonphysician practitioners or third-party staff on behalf of the physician or NPP to apply to enroll in the Medicare program or make changes to the enrollment information," [...]