PECOS, the Provider Enrollment, Chain, and Ownership System, is the CMS web-based portal through which healthcare providers and suppliers enroll in Medicare, update their enrollment information, and manage their participation status. Any provider who wants to bill Medicare for services must have an active, accurate PECOS enrollment record. Billing Medicare without an active enrollment, or […]
CMS, Medicare, Medicare Enrollment, PECOSThe moment healthcare providers have been waiting for has arrived. After years of anticipation, CMS has officially launched PECOS 2.0, a ground-up rebuild of how providers enroll in and maintain Medicare participation. This isn’t a cosmetic redesign, it changes daily workflow for anyone who touches Medicare enrollment, credentialing, or revenue cycle operations. Whether you’re handling […]
CMS, Medicare Billing, Medicare Enrollment, PECOS, Revalidation
If you’re a healthcare provider or facility dealing with Medicare, one thing is certain, getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up as […]
CMS, Geographical Practice Cost Index, Inpatient Prospective Payment System, IPPS, Medicare Billing, Prospective Payment Systems
Getting paid for the care you provide used to be fairly simple, see the patient, bill Medicare, get paid based on volume. That model started to shift back in 2015, when Congress passed the Medicare Access and CHIP Reauthorization Act, better known as MACRA. The law rebuilt the way Medicare pays physicians, moving reimbursement away […]
Advanced APM, CMS, Medicare, MIPS, QPP, Value-Based Models