will be Your Referring Physician Enrolled in PECOS?

 On Saturday, 10 December 2016  

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Title : will be Your Referring Physician Enrolled in PECOS?

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Beginning on October 5th, if the name of an ordering/referring provider appears on a Medicare claim, in which provider will be compared against the Provider Enrollment Chain as well as also Ownership System (PECOS). Between in which date as well as also January 3, 2010, if the referring provider will be not found from the PECOS system, informational claim adjustment reason codes as well as also remittance advice remark codes will appear on the explanation of Medicare benefits stating in which the ordering/preferring provider identifier will be invalid.

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Beginning on January 4th, 2010, any claims in which include invalid referring physician information will be denied. In addition, any provider who does not appear from the PECOS system with up-to-date information runs the risk of being excluded via the Medicare program for a period of one year.

in which will be imperative in which Medicare remittance advice be watched very closely during in which Phase 1 period. For providers who rely on patient referrals for the bulk of their business, such as specialists as well as also laboratories, any warnings received should be shared with the referring providers in question to bring in which situation to their immediate attention, as continued non-compliance with in which enrollment rule by referring or ordering providers could lead to your claims being denied.

Fortunately, the PECOS system has simplified what can be a laborious enrollment process. Simply go here to begin the process as well as also follow the step-by-step on-screen instructions. After completing in which process, remember to sign as well as also return the two-page certification form within seven days of you PECOS submission. Your information from the PECOS system will not be completed without in which step. If you have previously registered with the PECOS system, go here to login to the system as well as also update your information. If you experience technical difficulties during the process, CMS offers help desk support via 7 AM to 7 PM Eastern Time Monday through Friday.

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