New Hospice Regulatory Change: PECOS
June 2024
Effective June 3, 2024, all Hospice certifying physicians and attending physicians must be registered in the PECOS system.
What is PECOS?
PECOS, which stands for the Provider Enrollment, Chain, and Ownership System, is an online database used by the Centers for Medicare & Medicaid Services (CMS) to manage Medicare provider enrollment records. It allows healthcare providers to enroll, make updates to their information, and revalidate their enrollment online, ensuring that all necessary data is up-to-date and accurate. The system also tracks the ownership and control information of enrolled providers, adding an additional layer of transparency and accountability.
Why the Update?
The requirement for hospice physicians to be registered in PECOS is part of CMS’s broader initiative to modernize the enrollment process and improve the integrity of the Medicare program. By ensuring that all hospice certifying and attending physicians are registered in PECOS, CMS can better monitor and verify the credentials of those providing hospice care. This helps to protect patients by ensuring they receive care from qualified providers and helps reduce the risk of fraud within the Medicare system.
What Does This Mean for Hospice Providers?
Hospice providers must have ensured that all their certifying and attending physicians are registered in PECOS by the June 3, 2024, deadline. Failure to comply with this new requirement will result in denials of Medicare claims for hospice services.
Source: CMS, 2024
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