decisionhealth Newsletters, Part B News - 2011 Issue 10 (October)
New PECOS feature in 2012 could finally make paper CMS-855s a thing of the past
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Article Overview
This article covers Medicare enrollment revalidation timing, the rollout of a PECOS upgrade, and the shift from paper-based CMS-855 processes toward online provider enrollment management. It is aimed at practices, billing staff, and credentialing professionals who need to understand how CMS is handling revalidation notices, database updates, and related web-based enrollment functions.
Why This Topic Matters
Provider enrollment and revalidation affect whether Medicare participation records stay current and whether practices can respond efficiently to CMS notices. The article is relevant for teams managing Medicare credentialing, PECOS access, and the transition away from paper enrollment workflows.
Article Sections
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Medicare enrollment
An overview of the enrollment context and the move toward online PECOS use for provider revalidation and related administrative updates.
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Waiting for 2012: The fast-track feature and PECOS upgrade
Discussion of the planned PECOS upgrade, including a new screen-based workflow and electronic handling of certification-related steps.
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CMS reveals timeframe, website for revalidations
Coverage of CMS’s revalidation rollout schedule, including notice timing, the planned public website, and how providers may be alerted.
What You Will Learn
- How the article frames the shift from paper enrollment forms to online PECOS processes
- What broad changes CMS planned for the PECOS system in 2012
- How revalidation notices and timing were being communicated to providers
- Which general stakeholder concerns and operational issues are highlighted around enrollment data and revalidation tracking
Who Should Read This
- Medical practice administrators
- Billing and coding staff
- Credentialing specialists
- Provider enrollment teams
- Healthcare compliance staff
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