Fixes to PECOS Enrollment System

Via AAHomecare, WASHINGTON, D.C. (February 28, 2018)—AAHomecare has been working for many months with CMS and the Jurisdiction D Council to fix a claims system problem related to physician’s PECOS enrollment. When the requirement was introduced in 2013 that a prescriber ordering DMEPOS had to be enrolled in PECOS, AAHomecare lobbied that a prescriber who dis-enrolls due to death or retirement should have an extension of their termination to allow DMEPOS claims to process for one year. 

CMS concurred and actually set the termination date at 13 months to allow for capped rental items to be billed through the cap. In 2014, the system setting was reversed and no longer allowed this grace period. Recently, we were advised that CMS has implemented a system fix as of March 5, 2018 to once again allow the grace period. Suppliers are advised that they can resubmit claims that were denied for this reason as long as they are within the timely filing limit.

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