Tag Archives: pecos

Tips on Ordering and/or Referring Providers

UPDATE ON 4/25/13:  CMS announced the delay of PECOS edits that would result in denial of home health claims & Medicare part B claims when the ordering/referring physician is not enrolled in PECOS.  CMS will advise the new implementation date … Read Full Post

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What We’re Reading – Getting prepared for ordering and referring denial edits

Are you aware that, effective May 1, 2013, CMS will deny claims if the ordering and/or referring providers are not enrolled in the Medicare system?  This will affect all Medicare Part B covered services, durable medical equipment, orthotics, and supplies … Read Full Post

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5010 – Much Ado about Nothing?

It seems like not a day goes by in healthcare without some gloomy prediction about the changes lurking on the horizon. The one causing the most stir at the moment is 5010. To understand “5010,” we first need to take … Read Full Post

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The Revalidation of Provider Enrollment Information

The revalidation process is a requirement of the Affordable Care Act for all Medicare providers and suppliers to revalidate their enrollment information in the Medicare program under new enrollment screening criteria.  The revalidation process affects only those Medicare providers who … Read Full Post

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