Attention GAMES Members!

Conquering PECOS: What You Can Do!  Teleconference with Andrea Stark!

CMS is expanding the claims editing process for DME MACs to include a new defense against claims containing missing, improper or fraudulent physician orders. The new edits require the verification of a referral source’s Medicare enrollment and were designed to ensure that medical equipment is ordered only by those individuals authorized to do so. However, as an unintended consequence DME providers now risk having legitimate claims rejected if their referral sources are not properly registered with the Provider Enrollment Chain and Ownership System (PECOS). Currently, you may be receiving PECOS rejection warnings on your GenResponse reports if your ordering physician’s name or NPI is not found in the PECOS database. These warnings will turn to rejections beginning January 4th, 2010.

To help providers take advantage of early warning messages and mitigate rejections come January, Medicare consultant and reimbursement specialist Andrea Stark of MiraVista, LLC is holding a “Conquering PECOS: What You Can Do!” webinar. The webinar is being offered to state association members at a special, discounted rate.

By attending this webinar, you will gain a clear understanding of:
• What the PECOS database is and how it has been developed.
• Why DME MACs are utilizing PECOS to edit claims.
• How claims are edited using PECOS.
• Where to look for rejection/warning messages.
• How to determine if your physicians are enrolled in PECOS.
• What tools are available to help you educate your physicians.
• What steps can be taken to prevent claim rejections on January 4, 2010.

For your convenience, you may choose to attend the webinar on one of two dates: Monday, November 23, 2009 or Tuesday, November 24, 2009 at 2pm EST/11am PST. The cost of attendance is just $59 per attendee. If you are unable to attend, you may opt to purchase a digital recording for the same price.

To register, please CLICK HERE, complete the registration form, and fax it to: 803.758.2450, attention Michelle Hamel. For questions regarding the event, please contact: michelle@miravistallc.com.