CMS Turn on PECOS Edits in January

A Christmas gift you do not want, need and cannot return.  CMS is providing bag of coal for home health agencies and other Medicare providers & suppliers by turning on the PECOS Edits on January 6, 2014.  CMS is instructing the Medicare Administrative Contractors (MACs) to turn on Phase 2 of the denial edits.  These edits will check claims for a valid individual National Provider Identifier (NPI) and deny the claim when this information is invalid.  This will impact Home Health Agencies, DME, clinical laboratories, and imaging procedures.

For more information please use the following link:

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1305.pdf