Full Implementation of PECOS Phase II Edits Announced

WASHINGTON (Nov. 11, 2013)—Two weeks ago, CMS announced that full implementation of PECOS Phase II edits on ordering/referring HME providers in Medicare Part B will be in place effective Jan. 6, 2014. AAHomecare worked closely with CMS on the original delay of Phase II seven months ago, which was because of a lack of guidance on the operational effects of the edits. Recently, the Association received additional clarification from CMS on issues such as whether advanced beneficiary notices (ABNs) may be used and if services are statutorily non-covered if the ordering practitioner is not enrolled in PECOS. Visit MLN Matters for more details on the announcement.