tci Medicare Compliance & Reimbursement - 2014 Issue 2

PECOS Edits: Mitigate Damage When PECOS Edits Hit

Keeping systems ready is essential. The PECOS edits have been turned on despite multiple delays, but you can still act before the edits impact your bottom line. Costly denials are in store for those who have ignored reminders to ensure that their providers are enrolled in the PECOS. Here is what you must do. After delaying for years the edits which require an ordering or referring physician to be enrolled in PECOS, CMS began implementing them on Jan. 6. As of press time, that deadline was in place, although it’s possible that the agency could retroactively delay them...

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