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.