DecisionHealth, DecisionHealth - 2010 Issue 2 (February)

How to use CMS's online list of providers fully updated in PECOS

You now have an easy way of finding out whether your providers will face numerous claim rejections after April 5, when CMS will begin cracking down on claims submitted by ordering/referring providers who aren't enrolled or up-to-date in its online Provider Enrollment Chain Ownership System (PECOS). Remember: It's not just your providers who must be enrolled and updated. Any providers sending you orders and/or referrals must be as well, or you'll get claims rejections (PBN 12/14/09).

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