tci Part B Insider - 2011 Issue 44

Physician Note: CMS to Change NPI Listings in PECOS

Plus: A clinician's signature can cost them money--and jail time.You may have to tweak your procedures for checking whether your referring physicians are in Medicare's PECOS system.Background: Although it still hasn't implemented the postponed claims edits for physician enrollment in PECOS, CMS wants doctors who order and refer for Medicare services to be enrolled in the online system. You should be checking each of your referring physicians against the PECOS enrollment database and NPI registry, experts advise.Now that registry will look different, however. "In response to concerns raised by the provider community, CMS will no longer...

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