On April 27th, CMS published a final rule confirming that physician enrollment in PECOS is soon to become a condition of payment. Home Health Agencies may see claims edits introduced soon that would deny claims if PECOS enrollment is not confirmed. Although the interim rule dealing with PECOS was made effective on July 1, 2010, CMS decided to delay enforcement of these edits due to issues with the PECOS systems.
Sansio has provided its customers with the ability to check PECOS status at several points within its HomeSolutions.NET agency management software since July, 2010, including intake/referral, order management, and claims. Pictured below is a sample HomeSolutions Dashboard that can be referred to when managing the homecare admission or order management process.
Click here for the complete final rule in the Federal Register.