tci Part B Insider - 2013 Issue 20

Physician Note: 58 Percent of PECOS Records Are Inaccurate, OIG Says

Plus: At long last, CMS has a permanent administrator. You diligently transferred your Medicare enrollment records over from the old NPPES system to the PECOS system, but don’t pat yourself on the back just yet. The OIG recently reviewed provider enrollment files and found that many of them were wildly inaccurate, while others were incomplete. The OIG report, “Improvements Are Needed to Ensure Provider Enumeration and Medicare Enrollment Data Are Accurate, Complete, and Consistent,” involved reviewing a random sample of individual Medicare providers to determine how accurate the provider information was in NPPES and the more...

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