Corporate
  • PC-ACE Pro32 Software
  • EDI Report Request Tool
  • New Number
  • Revalidation
  • Revalidation

Provider Enrollment Alert – Issues Resulting from Recent Provider Enrollment, Chain and Ownership System (PECOS) Release

On June 30, 2019, PECOS Release 7.37 was implemented. This release was prescheduled and designed to bring efficiencies to Medicare Administrative Contractors (MACs) and providers who use PECOS. While many aspects of the release were successful, a small component associated to changes made to existing and new group reassignments was found to be problematic post-implementation. As a result, data flows from PECOS to the Multi-Carrier System (MCS) for these changes have been delayed for all MACs to proactively correct the identified issue.

CMS has assembled a team with accountability for resolving this issue. The team is working tirelessly to resolve the issue by July 16, 2019.

Potential Questions and Answers that you may have:

Q: Can I continue to submit enrollment applications?
A: Yes, please continue to submit applications as you do today. Internet-based PECOS applications are the quickest method of submission and processing, although you may submit either via Internet-based PECOS web or paper applications. Application processing will continue at each of the MACs as normal. Please also continue to respond to requests for additional information.

Q: My PECOS enrollment record has been approved, but when I attempt to enroll with EDI they indicate my provider/supplier is not present in the claims system. Is additional action needed on my part?
A: No, we will update this article when a fix has been deployed and at that time you can enroll with EDI.

Q: My PECOS enrollment record has been approved but when I submit claims, they cannot be processed because the NPI/PTAN is not present in the claims system. Is additional action needed on my part?
A: No, we will update this article when a fix has been deployed and at that time you can resubmit claims for processing.

myCGS LogomyCGS Logo

What can myCGS do for you?

myCGS is an online portal that provides instant information and allows you to submit secure forms and transactions, including:

  • Beneficiary Eligibility information
  • Checking Claims Status
  • View and print Remittance Advices
  • Financial Information
  • Respond to Medical Review (MR) Additional Documentation Requests (ADRs)
  • Submit and check the status of Redetermination Requests
  • Submit General Inquiries related to a number of topics
  • MBI Look-Up Tool
  • MR Dashboard and Claims Tab Enhancements

Read more

Upcoming Provider Education At-A-Glance

Sign up for upcoming education events!

  • All Things Medicare for Home Health Providers - September 11th

Registration is available here!

Foresee

We want to hear from you! Take the ForeSee customer satisfaction survey.

Need Help

Claims Processing Issues Log

POE Calendar of Events

Provider Enrollment Cycle Times


Two Vantage Way, Nashville, TN 37228 © CGS Administrators, LLC. All Rights Reserved