[SheilaS]

Wondering how everyone is interpreting the July 2010 deadline for PECOS my understanding is that we will get warnings, and that the Januayr 2011 is still to be followed. Anyone have a different understanding?

[HEATHER]

http://www.hmenews.com/?p=article&id=hm201005XYp9d4

[AndreaStark]

Sheila,

MiraVista attended both CMS Open Door Forums held on the 19th and the 26th regarding the July 6th PECOS deadline. I've also read both an HME News article and a HomeCare Magazine article with different takes on the deadline.

It is MiraVista's understanding from attending the calls that as of now the January 3 deadlne still stands for rejections, with physicians required to enroll by July 6. However, CMS did state that they reserve the right to retroactively edit claims once rejections begin.

MiraVista has posted an article regarding this topic on the MiraVista: Medicare News Blog.

Thanks!
Michelle Hamel
Communications Specialist, MiraVista LLC

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RE: Wondering how everyone is interpreting the July 2010 deadline for PECOS my understanding is that we will get warnings, and that the Januayr 2011 is still to be followed. Anyone have a different understanding?

[Sleeping410]

Latest email from AA Homecare


News Alert: Non-PECOS Compliant Claims NOT a Problem on July 6 Says CMS
AAHomecare received word from CMS officials earlier today that Medicare DMEPOS claims will not be denied on July 6, 2010 if the claims are not PECOS-compliant. There were some reports that claims could be denied starting July 6. The Medicare Provider Enrollment, Chain, and Ownership System (PECOS) manages, tracks, and validates enrollment data collected in both paper form and electronically via the Internet. CMS is seeking public comments on the effective date when claims that are not compliant with PECOS will be denied. Public comments on CMS-6010, which was published as an “interim final” rule, must be received by July 6, 2010. The interim final rule, however, is not effective until CMS publishes a final version of this rule later this year.

AAHomecare’s Regulatory Council is in the process of drafting comments on the recently issued CMS interim final rule (CMS-6010-IFC) (Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements). The AAHomecare Council will make a recommendation as to when CMS should begin denying claims without appropriate legal name and associated National Provider Identifier of the ordering physician or clinician. A key consideration in deciding upon a claims denial date will be an assessment of the number of physicians and clinicians not enrolled in PECOS.