tci Medicare Compliance & Reimbursement - 2014 Issue 2
PECOS Edits: Keep Your PECOS Response Plan Ready
Ensure that patients don’t suffer because of noncompliant physicians. Hopefully the vast majority of your ordering physicians will have PECOS enrollment under their belts, leaving the new PECOS edit implementation date to have little effect on you. But don’t count on it. Nearly every home health agency will have some referring physicians who haven’t complied with Medicare’s order to enroll in PECOS — and for many agencies, the level of denials will be shocking, billing expert Melinda Gaboury with Healthcare Provider Solutions in Nashville, Tenn., recently told Eli. If you’re lucky, your denials will...
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