No Date Yet for PECOS Edits

BALTIMORE — CMS issued a notice last week confirming that no date has been determined for when it will begin to apply claim edits for ordering/referring providers that do not have a record in the Provider Enrollment, Chain, and Ownership System (PECOS).

According to the notice, "It has come to CMS' attention that there was an editorial oversight in the OIG Compendium of Unimplemented Recommendations (March 2011 Edition). The OIG report states that the CMS will delay the implementation of Phase 2 of Change Request (CR) 6417 and CR until Tuesday, July 5, 2011. This is incorrect."

The agency said it will give providers "ample notice" before the ordering/referring provider claim edit is applied.