Medicare Compliance & Reimbursement - 2013 Issue 20
Physician Note: 58 Percent of PECOS Records Are Inaccurate, OIG Says
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Article Overview
This brief policy and compliance article discusses an OIG report examining the accuracy, completeness, and consistency of provider enrollment and enumeration data in CMS systems. It is intended for providers, billing staff, enrollment teams, and compliance professionals who manage Medicare enrollment records and want to understand the general scope of the data-quality issues and CMS response.
Why This Topic Matters
Accurate provider enrollment information affects communications, record integrity, and Medicare enrollment administration. The article highlights why organizations that maintain Medicare enrollment data should pay attention to CMS validation and correction efforts.
What You Will Learn
- How the article frames an OIG review of Medicare provider enrollment data quality
- Which CMS enrollment systems are discussed in relation to record accuracy and consistency
- What broad types of data issues were identified in provider enrollment records
- How the article characterizes CMS’s response to the OIG findings
Who Should Read This
- Physicians
- Medical practice managers
- Billing and coding staff
- Compliance professionals
- Provider enrollment specialists
- Healthcare administrators
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