tci Part B Insider - 2010 Issue 24

Enrollment: CMS Won't Reject Claims Based on PECOS Edits This Month

Despite the fact that the PECOS deadline is near, you needn't worry about denials -- yetThe July 6 PECOS deadline is nearly upon medical practices, but many report that the closer the deadline gets, the more difficult it is to access CMS's system.If your physician performs a service as the result of an order or referral, your claim must include the ordering or referring practitioner's national provider identifier (NPI), and that number must be in the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) or the payer's computer system. Currently, if you submit claims for services or items...

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