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Podiatry Coding & Billing Alert

Don't Lose Payments:

Check Referring Providers' PECOS Status

Published on Sat Jan 23, 2010

The enrollment deadline is April 5 -- afterwards MACs may deny your claims. If your providers have enrolled in PECOS, you may think your job is done, right? Wrong. If your podiatrist performs a service as a result of an order or referral, the doctor of medicine or osteopathy hat the podiatrist lists as referring must also be enrolled in PECOS, says Paul Fehring, owner of Drs. Billing Inc., a podiatry-specific billing service in Fairfield, Ohio. Starting in April, you'll face denials if you perform services referred or ordered by doctors that are not part of PECOS or the MAC's claims system. You may start to see warnings to this effect on your explanation of benefits (EOBs). If this happens, advise the referring physicians that they need to get up to date with the PECOS system, advises Fehring. What many practices don't realize, however, is that even if the physician [...]
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