Time is running out for all providers who refer Medicare services to update their PECOS information.  You will start to receive denials for any claim with a referral on it if this is not updated.  Any provider who enrolled in Medicare within the last 5 years should be okay.  If more than 5 years, chances are you have never updated your information in the PECOS system.

For more information visit the CMS resource page by clicking here.

Labels: PECOS

Many physicians and nonphysician practitioners who are eligible to order items or services or refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare provider enrollment, chain and ownership system (PECOS) and also contains the physician/nonphysician practitioner's national provider identifier (NPI).

If you have not updated your information with Medicare since November 2003, then you are not in the PECOS system.

CMS has delayed until April 5, 2010 the implementation of this rule. Any provider not enrolled in PECOS after that date who refers or orders on behalf of Medicare beneficiaries will receive denials.

If you need to enroll or want to check to see if you are current, visit Medicare Enrollment.

Labels: medicare enrollment, PECOS