What Is PECOS?

PECOS (the Provider Enrollment, Chain, and Ownership System) is an online platform health𝄹care providers and suppliers use to submit and manage their Medicare enrollment information. This allows them to register to provide services for patients with Medicare. The only other option for these groups of people is to submit a paper CMS-855 enrollment application. 

PECOS is run by the Centers for Medi🐓care & Medicaid Services (CMS), a federal🎀 subagency under the United States Department of Health and Human Services. 

What Is PECOS Used For?

PECOS streamlines the enrollment process for healthcare providers and suppliers that want to offer services to patients enrolled in Medicare. It's how people like physicians, nurse practitioners, clinical psychologists, and optometrists can get registered to provide care and bill Medicare. PECOS is also used by medical🙈 suppliers such as durable medical equipment companies and orthotic sﷺuppliers.

The system allows such vendors to: 

• Complete and submit an initial Medicare enrollment application
• Make and submit changes to existing Medicare enrollment information 
• Revalidate enrollment information 
• Track the status of an application 
• Reactivate an existing record
• Withdraw from the program

Using PECOS speeds up the enrollment process. It also helps reduce mistakes, since the sys𓃲tem runs an error check before you submit your application. This ensures you can begin providing Medicare services as quickly as possible. 

PECOS Pre-Enrollment Checklist

To make the app🌜lication 🧔process easier, PECOS provides a checklist of documents you’ll need to gather to provide the required information. 

Here are some of the items o𝔍n the pre-enrollment cಌhecklist:

• Active National Provider Identifier (NPI)
• National Plan and Provider Enumeration System (NPPES) user ID and password 
• Personal Social Security number and date of birth 
• Educational information, such as the name of your school and graduation date 
• Information about your professional licenses, such as the medical license number and state where issued 
• Information about your certification, such as its original effective date, renewal date, and certification number 
• Drug Enforcement Agency (DEA) number 
• Details about any final adverse actions, such as your Medicare billing privileges being revoked or the suspension of your license by any state licensing agency 
• Your medical practice’s legal business name and location 
• Information about how your practice stores medical records 
• Contact information for your billing agency, if applicable 
• Documentation to authorize electronic funds transfers so you can receive Medicare Part A and Part B payments directly

PECOS Enrollment Process

Once you🀅’ve gathered the required documents and information, you can use PECOS to enroll as a Medicare provider or🌱 supplier.

Step 1: Navigate to the PECOS Website 

澳洲幸运5官方开奖结果体彩网: The website looks like this: 

You must log into the system with your User ID and password. If you don’t𝔉 have login credentials yet, you can register for an account.

Once you log in, you’l💧l provide information about your iden𝐆tity and services. 

Step 2: Click the “My𒅌 Associates” Button to Start the 💃Application Process

澳洲幸运5官方开奖结果体彩网: Here you can: 

• Enroll in Medicare for the first time
• View or make changes to existing Medicare information 
• Keep working on an application that you’ve saved

Step 3: Click on the “New Application” Button

On the next page, yo💛u must indicate which provider the application is for. 

Step 4: Select I𝓀f You’re Enrolling Solely to Order and Refer

If you answer yes, you won’t be sending claims to a Medicare contractoꦺr for any service you provide. 

St🐟ep 5: Select the Desc𒅌ription That Best Matches Your Situation

澳洲🌱幸运5官方开奖结果体🅘彩网: You’ll indicate whether you’re applying as a:

• Sole owner of a PA, PC, or LLC
• Self-employed/sole proprietor
• Group member only
• Group member and self-employed 
• Disregarded entity 

Then, your identifying information will appear. Make sure your first and last name, Social Security number, and date of birth are correc🍸t, and head to the next page. There you’ll enter the state where you practice.

Step 6: Select Primar🐟y Medicare Services Rendered

Select your Part B Physical Specialities or Non-physician Specialties in the drop-dow𝓡n menu. 

Step 7: Begin the PECOS Application

On♐ce you’ve verifi🦂ed the information from the previous steps, it’s time to start the actual application process. 

PECOS has a few features to help kee📖p your application on track.

At the top, you’ll see a progress bar to sh🅷ow you how much you’ve completed. 

澳洲幸运5官方开奖结果体彩网: The🅘n, there are th🌳ree different tabs: 

• Topic View
• Fast Track View
• Error/Warning Check 

澳洲幸运5官方开奖结果体彩🌟网: L🐎et’s look at each one of those more closely. 

• The Topic View is a high-level view of what you need to do before you can submit your application. 
• The Fast Track View makes it simple to move through topics you haven’t yet completed. 
• The Error/Warning Check notifies you of potential problems or missing parts in your application process. 

Step 8: Provide Information for Each Topic and Compl⛦ete All Required Fields

Keep the🌃 documents you gathered earlier nearby so they’re easy to access as you go through the application. 

Once you complete one section, verify that there aren’t any mistakes 🌄on the Topic Summary before clicking the “Return to Topics” button at the bottom of the page. 

Com꧑plete this process for each topic in the application. Once you verify your information for a specific topic, a checkmark appears on the Topic Vi𒈔ew checklist. This helps you keep track of what steps you still need to complete.

Submitting Required and Supporting Documentation

PECOS allows you to upload documents to support your application. The drop-down menu allows you to select the document type you want to pr💜ovide. Then, you choose the correct file from your computer.

Once you’ve attac💧hed all your documents, navigate to the Topic View and scroll to the bot🀅tom to click “Begin Submission.”

Step 9: Ele☂ctronically Sign and Submit Your Application

Before you su♑bmit your application, you must decide whether you’d like to electronically sign and submit your document or mail in a hard copy. You’ll also need to agree to all the terms and conditions.

After verifying thaꦕt everything is accurate, you can submit your application. If desired, print a copy fꦐor your records.

Benefits of Using PECOS

Though the application process may seem tedious, using PECOS has several advantag꧃es for healthcare providers and suppliers. 

澳洲幸运5官方开奖结果体彩网: Here are a few of them: 

• Quicker application process: Since PECOS is a digital system, you won’t have to wait for mail delivery to submit your documents or worry about them getting lost. Instead, you submit your application and supporting documents simultaneously, streamlining the process.
• Application status tracking: You can run an online search to check the status of your PECOS application.
• Secure submission of documents: As an official government website, PECOS provides a way to upload and store your documents securely.
• Streamlined revalidation: When it’s time for you to revalidate your information, PECOS makes it simple. You can quickly review and update your information electronically, which can help prevent costly interruptions to your ability to bill Medicare.
• Tailored application process: PECOS uses your information to ensure you fill out only the sections related to you. You won’t have to jump through unnecessary hoops as a part of your application.

Frequently Asked Questions (FAQs)

The Bottom Line

PECOS is an efficient way for healthcare providers and suppliers to register with Medicare to provide services to participants. Whi☂le submitting your applicatio𒁏n through PECOS isn’t required, the advantages of doing so are clear. It’s a streamlined, paperless system that accelerates the application process and makes it simple to review and update your information whenever needed.