Comments on: Providers Without a PECOS Record Will Receive a Letter From Their Medicare Administrative Contractor (MAC)

By: Due to PECOS Backlog, CMS Announces Delay of January 3, 2011 Automated Edits & Claims Denial | Manage My Practice.com

Thu, 23 Dec 2010 03:04:59 +0000

[...] Previous posts on enrolling physicians in PECOS are here and here. [...]

By: Mary Pat Whaley

Mary Pat Whaley — Mon, 19 Jul 2010 22:50:24 +0000

Hi Kate,

I’m surprised you haven’t gotten letters! Are you sure that your providers aren’t in the ordering/referring list? If they aren’t listed and you haven’t gotten letters, I suggest you call your MAC and try to get an answer one way or another before you start the laborious process of completing the paper enrollment forms.

Let me know what you find out.

Best wishes,

Mary Pat

By: Kate

Kate — Mon, 19 Jul 2010 19:32:11 +0000

Have these letters gone out yet? We (a large medical facility) have a large number of practitioners who are not yet in PECOS, but as far as I know, none of them have received any correspondence from Medicare confirming the July 6th deadline.

By: Mary Pat Whaley

Mary Pat Whaley — Wed, 30 Jun 2010 03:07:01 +0000

Hi Gary,

You are correct. Even thought CMS spokespeople have been pretty cagey about their wording, it is clear that Medicare payments for physician/provider services will continue to be made through the end of the year, although there will be bothersome messages on all the EOBs. Services that physicians/providers order are expected to be denied if the ordering/referring physicians/providers do not have a PECOS record. Hopefully, once the letters go out to providers without PECOS records, all the non-enrolled will get enrolled and the crisis will be averted.

Thanks for your comment.

Best wishes,

Mary Pat

By: Gary

Gary — Wed, 30 Jun 2010 02:47:46 +0000

I heard that doctors ability to bill for their own services will not be affected on July 6, but that doctors not enrolled in PECOS will lose to ability to authorize certain Medicare services – especially home health and medical equipment. Maybe medical testing. The really bad part is that audits by the National Association for Home Care say that 24% to 40% of doctors with active home health patients are not enrolled and therefore not ready to follow their patients’ home health care. This article goes into more detail:
http://www.bma-advisor.com/2010/06/new-medicare-rule-could-cut-your-business-by-40/