Home Health & Hospice Week

Industry Note:

60-Day Notice For PECOS Edits Stands

Physician PECOS edits may be coming your way soon, but CMS still will give you a heads up on them.

Background: In a rule published in the Ap-ril 27 Federal Register, the Centers for Medicare & Medicaid Services announced its intentions to move forward with the so-called PECOS edits that were postponed last year. The edits, which check for the referring physician's enrollment in Medicare's online enrollment system, could bring some agencies' cash flow to a screeching halt if their docs are not enrolled in PECOS.

Before CMS turns on the PECOS edits, the agency will give providers at least 60 days' notice, CMS's Alisha Banks confirmed during an Oct. 10 National Provider Call.

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