CMS Announces Full Implementation of PECOS
Friday, December 13, 2013
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Section: Quality and Educational Programming




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VNAA introduces a new quality improvement and workforce training resource, the VNAA Blueprint for Excellence. It is a designed to provide information and tools for home health organizations, payers, policymakers, researchers and others with a stake in improving care transitions.

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 The Centers for Medicare & Medicaid Services (CMS) announced the full implementation of the Provider Enrollment, Chain and Ownership System (PECOS) edits on ordering/referring providers in Medicare Part B, DME, and Part A home health agency (HHA) claims. Phase 2 denial edits will begin January 6, 2014. These edits will check the following claims for a valid individual National Provider Identifier (NPI) and deny the claim when this information is invalid: claims from suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for ordered DMEPOS; and claims from Part A Home Health Agencies (HHAs).
 
Click here to read the PECOS announcement.
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