tci Part B Insider - 2014 Issue 3

PECOS System: PECOS Rejections Are Live--Follow These 8 Steps to Reduce Yours

After a long wait, PECOS edits went into effect on Jan. 6. There’s no doubt that Part B practices were starting to see Phase 2 of the PECOS edits as realistic as Bigfoot—but CMS surprised everyone by actually switching on the edits last week. Background: In today’s Medicare environment, you certainly can’t afford to have payments denied or rejected, but effective Jan. 6, if your physician performs a service as the result of an order or referral, your claim must include the ordering or referring practitioner’s NPI, and that number must be in the...

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