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Jim Bossenmeyer, Director of CMS’ Division of Provider and Supplier Enrollment announced on today’s special “Open Door Forum” that Medicare will delay implementation of CR6417 and CR6421 (the PECOS edits) to Jan. 3, 2011.
CMS intends to expand the editing process for DME claims. Its contractors will compare the NPIs of a claim’s ordering physician against a national list of Medicare-approved physician NPIs in a “PECOS” database. As a result, many providers have been receiving warning messages on GenResponse reports. Until the delay was announced today, these warnings would have turned to rejections beginning April 5, 2010.
Presumably, CMS has announced this further delay of the physician registration requirement to allow physicians and non-physician practitioners who order services or items for Medicare beneficiaries or who refer Medicare beneficiaries to other Medicare providers enough time to enroll in Medicare or to take the necessary actions to establish a current enrollment record in Medicare.
For more information on the program, access to a “user-friendly” PECOS database, and template letters to physicians, please review the VGM Regulatory News section here.
VGM will provide additional commentary and analysis shortly.
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