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ECP
Update: February 2014
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The
following update from ECP is in keeping with our intention to be your
source of timely industry news and updates to help keep you
informed on matters that pertain to the healthcare industy,
available services and ECP.
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How to prove you are in PECOS to
avoid new ordering, referring denials
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Your practice's claims will be
denied when the ordering or referring provider information on the
claim is either missing or not valid. This was an error that
previously allowed you an informational warning. The change took
effect Jan. 6 and, in some instances, clearinghouses and vendors are
erroneously holding up claims because they are unable to locate
a provider in CMS' Provider Enrollment, Chain Ownership System
(PECOS), when the provider is actually in PECOS, according to
Jennifer Searfoss, consultant with Searfoss & Associates in
Annapolis, Md.
The services that require valid
ordering and referring information are claims for home health
services, ordered clinical laboratory tests, imaging procedures and
durable medical equipment
If these denials affect your
practice, Searfross suggests: You can print the page from CMS'
ordering and referring file that has the provider information and fax or email to
any vendor or clearinghouse questioning the provider's ability to
order or refer services. (part
B news. January 20, 2014 | Vol. 28, Issue 3).
If you have any questions,
please contact ECP at 800.327.1213.
Sincerely,
ECP
415 Greenwell Ave.
Cincinnati, OH 45238
800.327.1213
www.4ecp.com
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ECP
is a medical claims clearing house for 10,000+ providers nationwide.
Since 1990, ECP has helped providers to reduce costs, increase
productivity, and speed up the collection of receivables from payers
and patients. ECP provides outstanding, results oriented customer
service to our clients; helping them to manage the billing cycle. ECP
is committed to maximizing the production and cash flow of our
clients through proven industry experience, established processing
methods, seasoned personnel, and cutting edge technology.
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