Attention all HAS Clients:

 

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 (See SE1305.pdf).

 

If you are using HomeCare Accounting Solutions’ HBS Billing application, we have had a built-in PECOS check feature for over a year (See Attached PECOS FAQ.docx). We suggest you run this feature regularly as CMS updates the PECOS list multiple times a month as new Physicians are added.

 

If you have any questions or concerns please feel free to contact HAS Support.

 

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