Medicare Enrollment: 10 Steps Help You Avoid PECOS Rejections Come January

Why This Topic Matters

These changes can affect whether Medicare claims process cleanly or are rejected, so practices need to understand the administrative and enrollment issues involved. The article helps readers identify the kinds of services and workflows that may be affected and the areas to review before the implementation date.

Article Sections

1. Overview of upcoming Medicare ordering and referring edits

   Introduces the planned Medicare claims processing changes and explains why practices are being alerted in advance. Discusses the need to review provider enrollment and claim-submission workflows.

2. Part B reminder

   Summarizes the Part B claims-processing approach described in the article and the preliminary system checks that occur before a claim is rejected. Covers the systems involved in provider verification.

3. 10 steps to avoid rejections

   Provides an ordered set of preparation topics practices should review before the change date. The section covers provider identification, claim-entry practices, enrollment verification, and administrative readiness.