RE: PECOS Enrollment
To our referring physicians and their office managers:
At __________we have begun a project to identify ordering physicians who are not enrolled in Medicare’s Provider Enrollment, Chain and Ownership System (PECOS). Our purpose is to remind physicians of the importance of enrollment to them and to us.Beginning in January, 2011 those providers filing Medicare claims listing an NPI number on the claim of an unenrolled provider will have their claims denied. This would apply to any claim you send in and to any claim we submit for services provided to your patients because we are required to list your NPI number on our claims. This applies both to patients referred to our private offices and the hospitals where we provide radiology professional interpretations or services.So, you can see our effort is not purely altruistic. We have a financial interest in reminding you of the importance of PECOS enrollment. In trying to ascertain whether you are enrolled, we are using an online program you can find at www.oandp.com/pecos. Simply enter your NPI number in the entry block and press enter. If you enter a valid NPI number, your name will appear and beside it will be a symbol indicating where Medicare recognizes your PECOS enrollment.Since Medicare is continually updating the files, we may have accessed the system before your enrollment was completed. We will continue to monitor the situation in hopes you will enroll if you intend to continue seeing Medicare patients. If you have already enrolled or have no plans to enroll, please excuse our intrusion.Sincerely,
Physicians who have validly opted out of Medicare will not need to complete a Medicare enrollment application.