CMS hedges on new July 6 deadline for PECOS ordering/referring rule

Article Overview

This article covers CMS guidance and uncertainty surrounding the timing of a PECOS enrollment and ordering/referring rule, including the shift in dates discussed in a Federal Register rule, CMS remarks on a provider enrollment call, and the practical compliance concerns raised for practices submitting Part B claims. It is relevant to billing staff, coders, compliance teams, and physician practices that rely on referring and ordering providers being properly enrolled in PECOS. The article focuses on timing, enforcement, claim denial risk, and resubmission considerations in the context of CMS enrollment requirements.