PECOS edits to begin May 1, 2013

Starting May 1, CMS will deny home health claims where the physician on the claim didn’t have an enrollment record in the provider enrollment, chain and ownership system (PECOS). CMS issued MLN Matters article SE1305 which announces the implementation of the PECOS edits and summarizes the process.
The article can be found here: MLN Matters PECOS article.

Until next time,

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