As you may be aware, PECOS is an Internet-based Medicare provider enrollment process, known as Internet-based Provider Enrollment, Chain and Ownership System.
Internet-based PECOS is available to physicians, non-physician practitioners, and provider and supplier organizations in all States and the District of Columbia. Internet-based PECOS allows physicians, non-physician practitioners, and provider and supplier organizations the option of enrolling, making a change in their Medicare enrollment information, viewing Medicare enrollment information, or tracking the status of their Medicare enrollment applications. PECOS is applicable to Part A and Part B providers.
Any physician who has not updated their provider enrollment since 2003 must update their application on PECOS. PECOS allows them the “option” of enrolling, and making changes/updates to their information. CMS requires that all physicians are to re enroll by January 4, 2010.
If a physician is not enrolled by this date Medicare claims will be rejected (e.g., you will not receive payment).
CMS is attempting to educate both the physician community and DMEPOS suppliers.
“Warning edits” are being sent to DMEPOS suppliers. According to CMS, suppliers should be aware they need to ensure the physician is appropriately enrolled with the Medicare program to effect timely adjudication of claims for both parties.