PECOS update for July 1: This looks like good news

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07/01/2010

CMS has been confusing in everything it's said about PECOS, but this latest press release from the agency seems like good news for HME providers.

Here's the release that CMS posted to its Web site yesterday:

CMS TO REVIEW PECOS ENROLLMENT PROCESS

Medicare Working with Ordering and Referring Providers and Suppliers to Streamline Enrollment Process

The Centers for Medicare & Medicaid Services (CMS) is working with providers to address concerns about enrollment in the Provider Enrollment, Chain and Ownership System (PECOS) to ensure that Medicare beneficiaries continue to receive the health care services and items they need.  PECOS is the electronic system used to enroll physicians and eligible professionals into the Medicare program.

As part of those efforts, CMS will, for the time being, not implement changes that would automatically reject claims based on orders, certifications, and referrals made by providers that have not yet had their applications approved by July 6, 2010.   While more than 800,000 physicians and other health professionals have enrolled and have approved applications in the PECOS system, some providers have encountered problems.  CMS is continuing to update and streamline the process, and more providers have been enrolled in the past few days.

To read the full release, click here.

Many thanks to JT, who sent me this press release at 10:59 a.m. today.

Mike Moran

Comments

Actually Medicare Advantage plans are required to offer coverage that meets or exceeds the standards set by the original Medicare program, but they do not have to cover every benefit in the same way