Home Health & Hospice Week

It's not too early to get on top of this potentially reimbursement-draining edit. PECOS edits for ordering physicians may not hit home health agency claims until next July, but you need to start getting your PECOS ducks in a row now to avoid big reimbursement hits when the deadline arrives. Because the Centers for Medicare & Medicaid Services has suspended its Medicare Provider Enrollment, Chain, and Ownership System (PECOS) edits for physicians' claims, home care providers will have even more work to do to make sure the edits don't take a big bite out of their Medicare reimbursement come July. Referring physicians won't have peer pressure in advance from other docs to make sure they're enrolled in PECOS. Background: When the edits begin next summer, the Medicare system will reject your claim if it doesn't include the ordering or referring practitioner's NPI, which must be in the PECOS computer system. [...]