tci Part B Insider - 2011 Issue 22

In other news

Don't be too quick to blame PECOS for all the informational messages you receive about claims lacking valid physician NPIs.Background: Last year CMS caused a panic among Part B providers by setting deadlines for so-called PECOS edits to begin on claims. In the first stage, which was implemented, the edits pay claims but send providers an informational message if the claim's referring/ordering physician doesn't have a valid National Provider Identifier number and/or isn't enrolled in the online Provider Enrollment, Chain and Ownership System (PECOS). The second stage, which will return claims without valid NPIs or PECOS enrollment, got...

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