guide to: pecos enrollment - precision diagnostics
TRANSCRIPT
guide to: PECOS enrollment
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What is PECOS?
PECOS stands for the Provider Enrollment, Chain and Ownership System. It is the online Medicare enrollment
system that allows providers to submit and maintain their enrollment. Providers are to submit an enrollment
application based on providers relationship with Medicare. The three ‘relationship’ types are:
• Enrollment where they bill Medicare for their services (855I)
• Enrollment where they reassign their benefits to their employing company who in turn pays them for services
rendered (855R)
• Ordering and Referring enrollment only (855O). You will only need to enroll for Ordering and Referring
privileges.
Please note that only certain provider types can enroll.
Why does it matter?
The Affordable Care Act, Section 6405, requires providers ordering tests for Medicare beneficiaries to be enrolled
in the Medicare program for diagnostic testing.
Per the FAQs sheet for Ordering and Referring Providers: Those who enroll as ordering/referring providers
only may not seek or receive reimbursement from Medicare for services they furnish. They do not have billing
privileges for submitting claims to Medicare directly for services provided to Medicare beneficiaries.
How does one enroll in PECOS?
You can register for ordering and referring status in two ways: Via a paper application or through the PECOS
website by visiting https://pecos.cms.hhs.gov. The online version takes about 15 minutes and the documentation
is uploaded into the system for processing. Once submitted and if done correctly, the application should process
in about 2-3 weeks.
You will need to have a scanned copy of the following on hand ready to upload at the end of the application:
• Driver’s license
• Copy of all applicable licenses such as your professional license, DEA, CDS, etc.
There is no fee to register for ordering and referring status.
If you need assistance with your application,email [email protected] or call (800) 635-6901 x554
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ENTER USER ID & PASSWORD
You may be taken to another page
in I&A to update your account
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Once logged in, choose
MY ASSOCIATES
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Select CREATE INITIAL
ENROLLMENT APPLICATION
if you have never been in the system
before and don’t see a record below
This provider has an existing record.
You would select this to view or edit
any existing enrollments.
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Once you start a new application,
you will select the applicant’s name
You will select this option for Ordering
and Referring Enrollment only
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Home (/pecos/home.do) > My Associates (/pecos/MyAssociates.do) > My Enrollments (/pecos/EnrollmentListNew.do) > Initial Enrollment
guide to: PECOS enrollment
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Home (/pecos/home.do) > My Associates (/pecos/MyAssociates.do) > My Enrollments (/pecos/EnrollmentListNew.do)
> Initial Enrollment (/pecos/EZ855OEnrollmentSummary.do) > Documentation Upload
CMS & HHS Websites
Medicare.gov
MyMedicare.gov
StopMedicareFraud.gov
Medicaid.gov
InsureKidsNow.gov
Healthcare.gov
HHS.gov
Ordering & Certifying
(https://www.medicare.gov)
(https://www.mymedicare.gov)
(https://www.stopmedicarefraud.gov)
(https://www.medicaid.gov)
(https://www.insurekidsnow.gov)
(https://www.healthcare.gov)
(https://www.hhs.gov/open)
(https://www.cms.gov/Medicare/
Provider-Enrollment-and-Certif ication/
Ordering-and-Certifying)