Advanced Search

Home Health & Hospice Week

Industry Note:

Keep An Eye Out For Looming PECOS Edit Date

Published on Thu May 31, 2012

Make sure your physicians are enrolled well ahead of time.The upcoming Medicare claims edits that will check for referring physicians' PECOS enrollment may make you nervous, but at least they won't drop on you at a moment's notice.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 could bring some agencies' cash flow to a screeching halt if their docs are not enrolled in Medicare's online enrollment system.No date to activate the PECOS edits has been set, a CMS official has told the National Asso-ciation for Home Care & Hospice. And the agency will provide a minimum advance notice of 60 days before activating the edits, NAHC reports.Tip: For you to get paid, the ordering physician will have to be enrolled in PECOS for [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All