tci Part B Insider - 2012 Issue 17

In other news

In May 2010, CMS published an interim final rule based on the Affordable Care Act, requiring physicians who ordered home health and certain other services to be enrolled in PECOS with a valid National Provider Identifier (NPI) number for claims to be paid. CMS planned to begin editing for docs' NPIs and PECOS information in January 2011. However, CMS postponed those edits indefinitely when physicians had inordinate difficulty enrolling in the system, among other problems. Last month, CMS issued a final rule restating those requirements, and CMS reps reportedly told a trade association that the edits would be coming...

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