DecisionHealth, DecisionHealth - 2009 Issue 10 (October)

Providers ordering supplies and DME must be in PECOS

When your providers order any kind of supplies or durable medical equipment (DME), all their enrollment information must be present in CMS's Provider Enrollment Chain Ownership System (PECOS). If they aren't, you should be getting a warning notice from your carrier - and starting Jan. 1, 2010, you'll get an instant denial on every DME claim filed on behalf of a provider not in PECOS.

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