tci Medicare Compliance & Reimbursement - 2013 Issue 12

Industry Notes

58 Percent of PECOS Records Are Inaccurate, OIG Says You diligently transferred your Medicare enrollment records over from the old NPPES system to the PECOS system, but don’t pat yourself on the back just yet. The HHS Office of Inspector General (OIG) recently reviewed provider enrollment files and found that many of them were wildly inaccurate, while others were incomplete. The OIG report, “Improvements Are Needed to Ensure Provider Enumeration and Medicare Enrollment Data Are Accurate, Complete, and Consistent,” involved reviewing a random sample of individual Medicare providers to determine how accurate the provider information was...

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