Home Health & Hospice Week

PECOS Edits Start Nov. 8.

If you geared up to analyze PECOS edit results starting Oct. 4, you can finally put that effort to good use.

CMS had pushed back phase 1 of the edit, which checks that the referring physician on an HHA claim has a valid NPI and is enrolled in Medicare's PECOS system. Now phase 1 editing will begin Nov. 8, confirms regional home health intermediary Cahaba GBA in a message to pro-viders. Phase 1 is merely informational, letting agencies know their claims don't qualify, but leaving reimbursement unaffected.

Phase 2 of Medicare's PECOS edits will reject claims that don't have the required physician information. CMS recently pushed back phase 2 edits to start next July (see Eli's HCW, Vol. XIX, No. 37, p. 290).

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