ENROLLMENT: CMS Promises PECOS Problems Resolved By Fall

Why This Topic Matters

Enrollment delays can affect whether providers can bill Medicare, so understanding CMS’s remediation efforts and future reenrollment changes is important for practices managing participation, compliance, and revenue cycle operations.

Article Sections

1. PECOS enrollment delays and backlog

   Introduces the provider enrollment problems affecting Medicare billing and the accumulation of pending applications under CMS’s enrollment system.

2. CMS response and carrier support

   Summarizes CMS’s operational response, including additional resources, staffing support, and coordination with carriers to address enrollment processing issues.

3. Upcoming reenrollment for National Provider Identifiers

   Describes the later enrollment-related work expected in preparation for the adoption of national provider identifiers and the related administrative impact.