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Old 06-14-2010, 10:13 AM
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Default Pecos update

HI

WHEN DID MEDICARE CHANGE THE DENIAL date to July 2010? I don't remember receiving any notification!! I just happened to see something about it on HME talk, today! HELP!
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Old 06-14-2010, 10:48 AM
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Margie,

The denial date, or start of PECOS rejections, has not yet officially changed to July. However, there is a possiblility that it could.

Basically CMS has issued an interim final rule that establishes the deadline for physician enrollment as July 6th. After this date, you must be sure to include the ordering physician's name and NPI on all claims. Otherwise, your claims could become subject to adminstrative review.

At this point, there have been several conflicting news releases from industry publications regarding whether rejections will begin in July 2010 or January 2011. The thing to take away from all of this is that while the official rejection date has not yet changed, suppliers should keep on their toes and prepare themselves for the possibility of an accelerated deadline. The PPACA does list a July deadline for physicians and non-physician practitioners who order DMEPOS to enroll in PECOS; however, CMS has not yet provided the DME MACs or CEDI with final guidance on whether the date to implement rejections has changed.
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Old 06-14-2010, 11:11 AM
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Thanks for the info... I sure hope it doesn't change to July 1st!
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