Don’t forget new Medicare PECOS rule begins July 6th

Beginning July 6^th, your practice could experience Medicare claim rejection if your practice provider information isn’t up-to-date in CMS's Provider Enrollment Chain Ownership System (PECOS). You will also need to confirm within PECOS the status of providers who refer patients to your providers or order any covered item or test prior to July 6. If these providers are not in PECOS, your related claims will get rejected.

Before July 6^th, sign into PECOS (https://pecos.cms.hhs.gov/pecos/login.do) on behalf of your providers, using their National Plan and Provider Enumeration System (NPPES) login credentials. Verify the information in all the data fields. Make sure all data entered is correct and make sure there is a PECOS record for your referring physicians.

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.