CMS delays enforcement of PECOS ordering/referring rule until 2011

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a CMS postponement of enforcement tied to PECOS enrollment for ordering and referring providers, along with the continued rollout of provider revalidation and enrollment updates. It is relevant to physician practices, billing staff, credentialing teams, and other Medicare enrollment stakeholders who need to track administrative compliance timelines and agency communications.

Why This Topic Matters

The piece helps organizations understand a temporary enforcement delay without losing sight of the underlying Medicare enrollment requirement and the need to keep provider information current.

What You Will Learn

  • How CMS described the timing of PECOS enforcement
  • Why practices may still see notices related to ordering and referring providers
  • What CMS said about continued enrollment revalidation activity
  • How providers can update or revalidate enrollment information

Who Should Read This

  • Physician practices
  • Billing and coding staff
  • Credentialing staff
  • Medicare enrollment specialists
  • Practice managers

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