tci Medicare Compliance & Reimbursement - 2011 Issue 1

Enrollment: PECOS Ordering/Referring Edits Won't Start Until July, CMS Says

Six month reprieve gives you extra time to ensure that you're in the system. CMS has offered Part B practices a reprieve: MACs won't institute ordering/referring PECOS edits until July, thanks to a new transmittal on the topic.Background: Currently, if you submit claims for services or items ordered/referred and the ordering or referring physician's information is not in the MAC's claims system or in PECOS, your practice will get an informational message letting you know that the practitioner's information is missing from the system. It was previously announced that MACs would start denying these claims on Jan. 3...

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