PECOS Access for Rehab Providers Coming Soon

CMS will soon provide access to Internet-based Provider Enrollment, Chain and Ownership System (PECOS) to suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) who are enrolled or who are eligible to enroll in the Medicare program.

Internet-based PECOS is the on-line Medicare provider and supplier enrollment system that may be used by providers and suppliers to submit enrollment applications, view enrollment information, update enrollment information, complete the re-enrollment process, voluntarily terminate from the Medicare program, and track the status of an application submitted via the Internet.

Internet-based PECOS is an alternative to completing and mailing a paper DMEPOS supplier enrollment application (CMS-855S). We consider Internet-based PECOS to be faster and more efficient than the paper enrollment process.

Current Medicare enrolled HMEs and other DMEPOS suppliers need to take no action at this time.

On July 5, 2010, the enrollment data for all active DMEPOS suppliers will be moved from the enrollment system at the National Supplier Clearinghouse (NSC) into the Provider Enrollment, Chain and Ownership System (PECOS). This move will establish enrollment records in PECOS for all active DMEPOS suppliers. PECOS currently contains the enrollment records for Medicare Part A and Part B fee-for-service providers and suppliers (with the exception of the DMEPOS suppliers). When the DMEPOS supplier enrollment records are moved into PECOS, PECOS will contain the enrollment information for all Medicare fee-for-service providers and suppliers.

Rehab Providers may begin using Internet-based PECOS on July 13, 2010.

Again, currently enrolled suppliers need to take no action. However, the system may be used to implement changes to information in an existing enrollment record. This occurs when the DMEPOS supplier has an existing enrollment record in PECOS and is reporting a change of information to that record, such as:

– Complete the re-enrollment process.

– Reactivate enrollment – This occurs when a DMEPOS supplier reactivates an existing enrollment record that had been deactivated in PECOS.

– Voluntarily withdraw from Medicare – This occurs when a DMEPOS supplier takes the action to withdraw from the Medicare program.

Internet-based PECOS will not have the capability to accommodate the submission of a DMEPOS supplier enrollment application any earlier than that date. Until then, DMEPOS suppliers must continue to fill out the CMS-855S paper enrollment application and mail the application to the National Supplier Clearinghouse Medicare Administrative Contractor (NSC).

CMS is making information about Internet-based PECOS available to DMEPOS suppliers prior to July 13, 2010 so that they will have an opportunity to become familiar with the access procedures and the operations of the system well before the date on which they may begin to use it.

CMS offers a detailed “Navigating through Internet-based PECOS to Initiate an Enrollment Application for a DMEPOS Supplier” report which includes specific procedures and a series of FAQs.

If you have questions or concerns, please contact Mark Higley at mark.higley@vgm.com or call 800.642.6065.