tci Medicare Compliance & Reimbursement - 2013 Issue 9

PECOS Enforcement: Get the Update on the PECOS Delay

HHAs: Head off costly appeals by monitoring RAPs. Home health agencies have a moment to catch their breath now that looming PECOS edits have been delayed. Latest update: "Due to technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed," the Centers for Medicare & Medicaid Services says in an April 25 message to providers. "CMS will advise you of the new implementation date in the near future." The delay is "temporary," CMS says. When CMS does finally turn on the edits, you can head off a costly appeal by paying...

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