For the past several months, administrators have worked feverishly to ensure that all physicians in the practice are appropriately enrolled using the Provider Enrollment, Chain and Ownership System (PECOS). The potential denial of claims motivated everyone to complete this task as quickly as possible. The process has not been easy for practices or for CMS, with many backlogs reported. As a result, the implementation of “Phase 2– editing of ordering / referring providers” has been delayed indefinitely. Your claims will not be denied if the provider listed as an ordering or referring provider is not yet enrolled in the PECOS.
We encourage practices to continue diligence with the enrollment process but you are not at risk for denials at the present time.
Additional information on this change can be found in the MedLearn Matters 6417 on the CMS website.