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Medicare Compliance & Reimbursement

PART B REGS:

CMS Transitioned Over 230,000 Providers' NPIs Into PECOS

Published on Tue Jan 12, 2010

Plus: Medicare officials stress that you should start ICD-10 readiness preparations sooner rather than later. CMS intends to help your transition to using the PECOS system, even if it means additional legwork on their part. Providers who order/refer many services and supplies must be enrolled in Medicare Provider Enrollment, Chain, and Ownership System (PECOS) by April 5, 2010, or the entity billing the claim will face denials. Previously, CMS had indicated that the deadline for PECOS updates by ordering/referring providers would be Jan. 4, 2010 but a Nov. 23, 2009 directive delayed the deadline by three months "to try to give the physicians and non-physician practitioners who can order and refer an opportunity to get their enrollment records into PECOS," said CMS's Pat Peyton during a Dec. 16, 2009 CMSsponsored Open Door Forum. If you bill an item or perform a service that was ordered or referred by another practitioner, [...]
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