tci Part B Insider - 2010 Issue 18

Physician News: Ordering/Referring Providers Must Be in the PECOS System by July 6

Plus: OIG encourages Medicare contractors to seek overpayments after discovering that it only recovered 7 percent of overpayments identified in 2007. CMS can't seem to make up its mind regarding when your ordering/referring providers' NPIs must be in PECOS. Just two months after delaying the provision until 2011, the agency has done an about-face, announcing that ordering/referring docs' NPIs must be in PECOS by July 6 of this year. If your physician performs a service as the result of an order or referral, your claim must include the ordering or referring practitioner's national provider identifier (NPI), and that number...

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