AMA Clinical Examples in Radiology - 2010 Bulletin 2
CMS Expands List of Providers Eligible to Enroll in PECOS
CMS Expands List of Providers Eligible to Enroll in PECOS The Centers for Medicare and Medicaid Services (CMS) requires physicians who normally are not enrolled in the Provider Enrollment, Chain and Ownership (PECOS) to furnish service and bill Medicare to enroll in PECOS for the sole purpose of referring or ordering services for Medicare beneficiaries. CMS has expanded the list of providers who are eligible to order or refer Medicare patients to include: Doctor of medicine or osteopathy Doctor of dental medicine Doctor of podiatric medicine Doctor of optometry Doctor of chiropractic medicine Physician assistant Certified clinical nurse specialist...
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Article Overview
This article summarizes a CMS update to Medicare provider enrollment policy related to PECOS eligibility for referral and ordering purposes. It is relevant to billing, enrollment, and compliance staff who need to understand which provider categories are included, what application process is referenced, and the administrative requirements described for Medicare enrollment submissions. The piece also notes limitations involving interns and residents and points readers to additional CMS enrollment guidance.
Why This Topic Matters
Changes to PECOS eligibility can affect Medicare enrollment workflows, ordering and referral processes, and how provider information is submitted and maintained. Organizations that support Medicare billing or provider enrollment need to track these administrative updates to remain aligned with CMS requirements.
What You Will Learn
- Which provider categories are included in the CMS update
- What enrollment application is referenced for referral or ordering purposes
- What administrative steps are mentioned for submitting provider information
- What limitations are noted for interns and residents
- Where the article directs readers for additional CMS enrollment guidance
Who Should Read This
- Medical coders
- Billing staff
- Provider enrollment specialists
- Compliance staff
- Radiology administrative staff
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