Don't delay in addressing this pressing billing and compliance issue. Customize this sample letter to contact referring physicians about the PECOS requirements. "Due to regulatory changes, all physicians who have not enrolled and approved and listed in PECOS or opted out of Medicare will not be able to order or refer Medicare patients for home health services or Durable Medical Equipment effective July 6, 2010. PECOS is the electronic database of Medicare providers and suppliers. When we accessed the Medicare Ordering/Referring database this week, your name was not listed on the list. We realize it may take 4-6 weeks for the database to be updated so we are requesting a confirmation from you. More information is available if you would like us to send it. Please check one of the following and fax back to us by (insert date), 2010: ______ I registered with PECOS by Internet on ___________________ (date of registration) (PECOS file may take 4-6 weeks to be updated.) _____I am faxing the CMS CONFIRMATION PAGE of my approval status. O Go to https://pecos.cms.hhs.gov/pecos/MyEnrollments. You will get a screen titled "My Enrollments". This will have the name of the physician, the NPI number and will have the status, either approved or in progress. Print this out and fax to our agency. _____My status still shows "in progress". ______ I registered with PECOS by mail on ___________________ (date of registration) (PECOS file May take 4-6 weeks to be updated.) ____I am faxing the letter I received from CMS confirming my approval. ____I have not yet received a letter from CMS confirming my approval. ______ I will be registering in the near future. ______ I have or will be opting out of Medicare and will be able to order/refer Medicare patients for home health services or durable medical equipment, just will not be able to bill Medicare for my services. Note - The AMA has posted an article on 6-14-10 in the "American Medical News", indicating that the "physician deadline for Medicare PECOS enrollment moved up to July"... http://www.ama-assn.org/amednews/2010/06/14/gvl10614.htm Thanks, (Insert your information)" Note: Letter furnished by Serese Wiehardt with Howard County Home Health and Hospice in Fayette, Mo. For a free Word file of the letter, e-mail editor Rebecca Johnson at rebeccaj@eliresearch.com with "PECOS Letter" in the subject line.