Medicare PECOS Update: Denials Will Begin May 1, 2013!
Medicare PECOS Edits Begin May 1, 2013 – Claim Denials Possible | Effective May 1, 2013, the Centers for Medicare & Medicaid Services (CMS) will turn on the Phase 2 denial edits. This means that Medicare will deny claims for services or supplies that require an ordering/referring provider to be identified and that provider is not identified, is not in Medicare’s enrollment records, or is not of a specialty type that may order/refer the service/item being billed.
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