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Home Health & Hospice Week

Reimbursement:

Watch For Physician PECOS Edits Now Or Pay Later

Published on Wed Sep 01, 2010

Warning: Informational edits starting Oct. 4 are easy to overlook. Your cash flow could be in serious jeopardy in the new year unless you take some vital steps starting this month. Why: If physicians who referred your patients haven't enrolled in Medicare's PECOS system or if you haven't included the correct physician information on your claims, your claims still will pay. But starting Oct. 4, home health agencies will receive a remark code that informs them that the physician information isn't correct. Starting Jan. 3, the edits will reject such claims instead of informing HHAs that they have a physician PECOS error. "It could be a significant problem come January for any claims that reject for this issue," warns consultant M. Aaron Little with BKD in Springfield, Mo. That's "because any delay in cashin today's environment is troublesome. Especially one such as this that requires coordination with the physician or [...]
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