What Is PECOS?
PECOS (the Provider Enrollment, Chain, and Ownership System) is an online platform healthcare providers and suppliers use to submit and manage their Medicare enrollment information. This allows them to register to pro🔥vide services for patients with Medicare. The only other option for these groups of people is to submit a paper CMS-855 enrollment application.
PECOS is run by the Centers for Medicare &🌼amp; Medicaid Services ꧋(CMS), a federal subagency under the United States Department of Health and Human Services.
Key Takeaways
- Health care providers and suppliers can use PECOS to enroll in Medicare.
- To make the enrollment process easier, you’ll want to gather certain documents before beginning.
- Once enrolled, you can use PECOS to change your information, complete your revalidation process, or deactivate your account.
What Is PECOS Used For?
PECOS streamlines the enrollment process for healthcare providers and suppliers that want to offer services to patients enrolled in Medicare. It's how people like physicians, nurse practitioners, clinical psychologists, and 🎶optometrists can get registered to provide care and bill Medicare. PECOS is also used by medical suppliers such as durable medical equipment companies and orthotic supp🌱liers.
The system allows such vendors to:
- Complete and submit an initial Medicare enrollment application
- Make and submit changes to existing Medicare enrollment information
- Revalidate enrollment information
- Track the status of an application
- Reactivate an existing record
- Withdraw from the program
Using PECOS speeds up the enrollment process. It also helps reduce mistakes, since the system runs an error chܫeck before you submit your application. This ensures you can begin providing Medicare services a✤s quickly as possible.
Note
If you’re not a healthcare provider or supplier, you won’t use PECOS. This article on 澳洲幸运5开奖号码历史查询:how to choose a Medicare plan might be more helpful.
PECOS Pre-Enrollment Checklist
To make the appl꧙ication process easier, PECOS provides a checklist of documents you’ll need to gather to provide the required information.
Here are some of the items on the pre-enrollment🃏 checklist:
- Active National Provider Identifier (NPI)
- National Plan and Provider Enumeration System (NPPES) user ID and password
- Personal Social Security number and date of birth
- Educational information, such as the name of your school and graduation date
- Information about your professional licenses, such as the medical license number and state where issued
- Information about your certification, such as its original effective date, renewal date, and certification number
- Drug Enforcement Agency (DEA) number
- Details about any final adverse actions, such as your Medicare billing privileges being revoked or the suspension of your license by any state licensing agency
- Your medical practice’s legal business name and location
- Information about how your practice stores medical records
- Contact information for your billing agency, if applicable
- Documentation to authorize electronic funds transfers so you can receive Medicare Part A and Part B payments directly
Important
PECOS has three different c💜h✱ecklists depending on the type of provider you’re enrolling as. You can find each one .
PECOS Enrollment Process
Once💖 you’ve gathered the r♚equired documents and information, you can use PECOS to enroll as a Medicare provider or supplier.
Step 1: Navigate to the PECOS Website
澳洲幸运5开奖号码历史查询: The website looks like this:
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You must log into the system with your User ID and password. If you don’t have login credentials yet, you can register for a🗹n account.
Important
Only individual practitioners, authorized꧙ or delegated officials for a provider or supplier organization, or i💫ndividuals who work for providers or suppliers can register.
Once you log in, you’ll provide informatio💙n about your identity and services.
Step 2: Click the “My Associates” Buꦏtton to ꧙Start the Application Process
澳洲幸运5开奖号码历史查询: Here you can:
- Enroll in Medicare for the first time
- View or make changes to existing Medicare information
- Keep working on an application that you’ve saved
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Step 3: Click on the “New Application” Button
On the next page, you must indicate which provider the applic൩ation is for.
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Step 4: Select If You’re🐻 Enrolling Solely to Order and Refer
If you an🦹swer yes, you won’t be sending claims to a Medicare contractor foꦓr any service you provide.
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Step 5: Select t🍨he Description That Best Matches Your Situa🎀tion
🌞澳洲幸运5开奖号码历史查询: You’ll indicate whether you’re applying as a:
- Sole owner of a PA, PC, or LLC
- Self-employed/sole proprietor
- Group member only
- Group member and self-employed
- Disregarded entity
Then, your identifying information will appear. Make sure your first and last nam🉐e, Social Security number, and date of birth are correct, and head to the next page. There you’ll enter the state where you practice.
Step 6: Select Primary Medicare Seꦍrvices Rendered
Select your Part B Phys💜ical Specialities or Non-physician Specialties in the drop-down menu.
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Note
You must complete separate app🧸lications for each primary healthcare service you provide.
Step 7: Begin the PECOS Application
Once you’ve verified the information from the previous 💦steps, it’s time ꩵto start the actual application process.
PECOS has a few features to help keep your appl꧅ication ꧃on track.
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At the 💮top, you’ll see a progress bar to show you how much you’ve completed.
澳洲幸运5开奖号码历🍎史查询: Then, 🌠there are three different tabs:
- Topic View
- Fast Track View
- Error/Warning Check
澳洲幸运5开奖号码历史查询: Let’s look at each one of those🧸 more closely.
- The Topic View is a high-level view of what you need to do before you can submit your application.
- The Fast Track View makes it simple to move through topics you haven’t yet completed.
- The Error/Warning Check notifies you of potential problems or missing parts in your application process.
S🐭tep 8: Provide Information for Each Topic and Complete All Required Fields
Keep the documents you gathered earli♋er nearby so they’re easy to access as you go through the application.
Once you complete one section, verify that there aren’t any mistakes on the ꦛTopic Summary before cli♈cking the “Return to Topics” button at the bottom of the page.
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Co꧃mplete this process for each topic in the application. Once you verify your information for a specific topic, a checkmark appears on the Topic View checklist. This helps you keep tr♐ack of what steps you still need to complete.
Submitting Required and Supporting Documentation
PECOS allows you to upload documents to support your appli෴cation. The drop-down menu allows you to select the document type you want to provide. Then, you choose the correct file from your computer.
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Onℱce you’ve attached all your documents, navigate to the Topic View and scroll to the bottom to click “Begin Submission.”
Important
Any documents you don’t upload as part of the application process must be mailed to the fee-for-service contractor that manages Medicare o📖perations in your 💛jurisdiction. This could delay the processing of your application.
Step 9: Electronic𒆙ally Sign and Submit Your Application
Before you submit your application, you must decide whether you’d like to electronically sign and submi🍨t your document or mail in a hard copy. You’ll also need to agree to ꦿall the terms and conditions.
After verifying that ever𒊎ything is accurate, you can submit yಞour application. If desired, print a copy for your records.
Note
Upon initial enrollment, you must pay a Provider Enrollment Medicare Application Fee. In 2023, it was $688.
Benefits of Using PECOS
Though the application process maꩵy seem tedious, usi🐼ng PECOS has several advantages for healthcare providers and suppliers.
澳洲幸运5开奖号码历史查询: Here are a few of them:
- Quicker application process: Since PECOS is a digital system, you won’t have to wait for mail delivery to submit your documents or worry about them getting lost. Instead, you submit your application and supporting documents simultaneously, streamlining the process.
- Application status tracking: You can run an online search to check the status of your PECOS application.
- Secure submission of documents: As an official government website, PECOS provides a way to upload and store your documents securely.
- Streamlined revalidation: When it’s time for you to revalidate your information, PECOS makes it simple. You can quickly review and update your information electronically, which can help prevent costly interruptions to your ability to bill Medicare.
- Tailored application process: PECOS uses your information to ensure you fill out only the sections related to you. You won’t have to jump through unnecessary hoops as a part of your application.
Frequently Asked Questions (FAQs)
What Is PECOS 2.0?
PECOS 2.0 is the new and improved PECOS that’s coming soon. It will add additional features and streamline the Medicare enrollment process even further. For example, it will allow you to use a single application to update multiple enrollments, such as practices in different states or primary specialties.
Is It Mandatory to Register With PECOS?
No, registering with PECOS isn🅺’t mandatory. CMS still accept🐬s paper applications. However, PECOS is highly recommended, as it’s paperless and speeds up the application process.
What Is the CMS?
The CMS is the Center for Medicare & Medicaid Services. It administers Medicare, Medicaid, and the 澳洲幸运5开奖号码历史查询:Children’s Health Insurance Program (CH�🃏�IP.) PECOS is overseen by the CMS.
What Is the CMS-855 Enrollment Application?
The CMS-855 enrollment application is the paper application that healthcare providers and suppliers can use to register with Medicare.
How Do I Upload Documents to PECOS?
Uploading a document to PECOS is a simple process. After logging in, navigate to the “Topic View.” The bottom option is🙈 “Required and/or Supporting Documentation Information.” From here, you can select the type of document you want to submit, find the file on your computer, and upload it.
The Bottom Line
PECOS is an efficient way for healthcare providers and suppliers to register with Medicare to provide services to participants. While submitting your application through PECOS isn’t required, the advantages of doing so are clear. It’s a streamlined, paperless system that accele𝓡rates the application process and makes it simple to review and update your information whenever needeꦓd.