Tag: PECOS edits
PECOS edits set to start next week
January 2, 2014HME News Staff
BALTIMORE - It looks like the PECOS edits are still scheduled to go into effect next week.
Noridian Administrative Services, the DME MAC for Jurisdiction D, reminded providers in a Jan. 2 bulletin that Medicare plans to implement Phase 2 denial edits on Monday, Jan. 6.
Once the edits take effect, contractors will verify that the ordering/referring physician or healthcare provider on the claim is in the Physician Enrollment, Chain and Ownership System (PECOS), and is eligible to order/refer...
CMS announces start date of PECOS edits
November 7, 2013HME News Staff
BALTIMORE - CMS will start editing DME claims to determine whether or not the ordering or referring physician has enrolled in the Provider Enrollment, Chain and Ownership System (PECOS) on Jan. 6, 2014, according to a new bulletin.Claims that don't pass muster will be denied, and the billing provider will not be paid for the items or services that were furnished based on the order or referral.CMS had planned to start editing claims on May 1, but it held off due to technical reasons. The agency has...