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ARE YOU ENROLLED IN PECOS?

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ARE YOU ENROLLED IN PECOS?

WHAT: Enrollment in the Internet-based Provider Enrollment, Chain and Ownership System (PECOS) is required for all physicians, non-physician practitioners, and provider and supplier organizations. PECOS allows physicians, non-physician practitioners, and provider and supplier organizations the option of enrolling, making a change in their Medicare enrollment information, viewing Medicare enrollment information, or tracking the status of their Medicare enrollment applications throughout the Internet submission process. WHEN: Effective January 3, 2011 Medicare will discontinue paying claims for physicians if the both the physician and referring provider are not enrolled in PECOS. It is important to understand that enrollment in PECOS is a separate process from traditional Medicare enrollment. Although enrolled in Medicare, many physicians do not have a current enrollment record in PECOS.

 HOW: For physicians and non-physician practitioners, there are three basic steps to completing an enrollment action using Internet-based PECOS:


1. You must have an active National Provider Identifier (NPI) and have a web user account (User ID/Password) established in NPPES (https://nppes.cms.hhs.gov/NPPES/).


2. Go to Internet-based PECOS (https://pecos.cms.hhs.gov) and complete, review, and submit the electronic enrollment application via Internet-based PECOS.


3. Print, sign and date the 2-page Certification Statement for each enrollment application submitted and mail the Certification Statement and all supporting paper documentation to the Medicare contractor within 7 days of electronic submission. Note: A Medicare contractor will not process an Internet enrollment application without the signed and dated Certification Statement.


For additional information, please contact
Martha Branton at 843-229-0817 or mbranton@pdpathology.com

 

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