tci Part B Insider - 2009 Issue 42

ENROLLMENT: All Ordering/Referring Providers Must Be in PECOS by April 5

Your MAC will begin denying claims in April. CMS wants to make sure that the PECOS system is entirely up to date -- and if your records aren't on file, you have until April 5 to make sure they get there -- after that date, claim denials will result. If your physician performs a service as a result of an order or referral, your claim must include the referring or ordering practitioner's national provider identifier (NPI) and that number must be in the PECOS system. What many practices don't realize, however, is that even if the physician has an...

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