Physician Practice Specialists» Medicare Credentialing

DMEPOS Application Essentials

Andrew — Tue, 24 Jan 2012 16:18:42 +0000

Here are a few key things to remember when submitting an application to enroll your business in the DMEPOS (Durable Medical Equipment and Prosthetics/ Orthotics). The applications required for enrolling a business or new location are 855s, CMS588

Remember that you need to send a complete application in for each new service location regardless if [...]

DMEPOS Medicare Application Fee

Andrew — Sat, 16 Apr 2011 14:25:52 +0000

Bad news for providers in the form of a new cost of doing business. Medicare has instituted an application fee as of March 25, 2011. You must submit an initial application fee to the National Supplier Clearinghouse of $5xx. NSC is who processes the 855s DME applications and is now returning any applications that do [...]

Am I in PECOS? Check Now!!!

Andrew — Sat, 08 Jan 2011 00:04:25 +0000

If you are questioning whether or not you are in PECOS, simply download the excel file below and do a search for your NPI number/name. This list is current as of 1/06/2011 and will be updated periodically as updated lists are provided by CMS. If you receive a referral from a physician not in PECOS, [...]

21% Medicare Cut Update

Andrew — Fri, 18 Jun 2010 21:14:44 +0000

The U.S. Senate today voted to postpone a 21 percent cut in Medicare payments to doctors & medical providers after lawmakers struck a last-minute deal as the reductions were to take effect.

The chamber, on a voice vote, agreed to delay the cuts until December after Democrats and Republicans agreed on savings elsewhere in the [...]

PECOS Closed March 29th-April 5th

Andrew — Mon, 29 Mar 2010 23:02:27 +0000

Remember that PECOS will be closed for maintenance starting today through April 5th. We confirmed that today that this should not affect any pending Medicare enrollment applications processed through PECOS prior to March 29th. We as many other organizations utilize PECOS for our provider applications and appreciate them taking the time to address some of [...]

CMS Delays Ordering/Referring PECOS Regulation Until 2011

Andrew — Fri, 26 Feb 2010 17:30:36 +0000

Okay so you have some breathing room but — don’t wait until the end of the year, CMS reps say.

Practices that have been struggling to make sure that their ordering/referring physicians’ national provider identifiers (NPIs) were in the PECOS system can now relax a little bit – at least until next year.

If your physician [...]

Medicare Referring Provider Documentation

Andrew — Tue, 16 Feb 2010 17:50:04 +0000

If you have already registered with PECOS here is the documentation from CMS providing you with the List of Providers who are also registered in PECOS. It is important to remember that a provider you refer to must also be in PECOS or you risk having your claim denied by Medicare. This is working out [...]

4/5/2010 Cut Off For PECOS Online Enrollment

Andrew — Tue, 15 Dec 2009 13:33:16 +0000

CMS, Centers for Medicare and Medicaid Services, has implemented a new policy regarding payment for durable medical equipment, prosthetics, orthotics, and supplies. In order for a supplier to receive payment for these supplies, Medicare is verifying that the ordering/referring provider on a DMEPOS claim (1) has a current enrollment record in Medicare (i.e., the ordering/referring [...]

BYE BYE Consultation Codes

Andrew — Sat, 28 Nov 2009 20:59:53 +0000

With all of the conversations about Health Care reform many practices have taken their eyes off of the current happenings in Medicare. 2010 will prove to be a year full of changes and could very well have bills signed that transform Medicare/Medicaid like never before.

One of the important changes is beginning January 1, 2010, [...]

Medicare Proposed Changes

Andrew — Tue, 07 Jul 2009 02:07:42 +0000

We have been awaiting news for this year’s fee schedule revision with Medicare and have the following information to share. Please note: Medicare has requested a reduction in payments for the last 4 years and congress has always (so far) intervened; however, the rate reductions has never been above [...]