What is PECOS and how does it affect me as a DMEPOS supplier?
In an effort to ensure that the referring/ordering physician on a DMEPOS claim has a current enrollment record in Medicare and is of a specialty that is eligible to order and refer, all physicians that order/refer DMEPOS items must have updated enrollment information in the Provider Enrollment, Chain and Ownership System (PECOS). This requirement is being implemented in two phases: • For Phase 1, beginning October 5, 2009, if the referring/ordering physician on a DMEPOS claim does not have current enrollment information in PECOS, you will receive a warning message on your CEDI GenResponse Report. • For Phase 2, beginning January 3, 2011, if the referring/ordering physician on a DMEPOS claim does not have current enrollment information in PECOS, the claim will be rejected. If you are receiving a warning on your CEDI GenResponse Report that the ordering/referring physician is not enrolled in PECOS, beginning January 3, 2011 your claims containing that physician’s NPI will reject unless t
Related Questions
- If a DMEPOS supplier is established as a sole proprietorship and has three separately-enrolled sites, must it obtained three surety bonds?
- For purposes of the surety bond requirement, what is considered to be a chain DMEPOS supplier?
- Who within the DMEPOS supplier organization must sign the surety bond form?
