Home Health & Hospice Week

You could pay in claims review if you don't meet the July deadline. If you choose to ignore the PECOS requirement for your ordering physicians on your Medicare claims, you'll be playing Russian roulette with your reimbursement starting next month. In an April transmittal, the Centers for Medicare & Medicaid Services said it would be implementing Medicare Provider Enrollment Chain and Ownership System (PECOS) edits for HHAreferring physicians starting in October. At first the edits will be informational only, then in January claims will reject if referring docs aren't in the PECOS system (see Eli's HCW, Vol. XIX, No. 18, p. 140). The HHA deadline matches the alreadypushed-back PECOS edit deadline for durable medical equipment claims. Home care providers were glad that they seemed to get a little breathing room on the troubled PECOS edit initiative. DME PECOS edits were delayed due to difficulty getting referring physicians to enroll in the [...]