West Virginia Oncology Society
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CMS established the online Medicare Provider Enrollment Chain and Ownership System (PECOS) as
an alternative to the submission of the paper enrollment form, CMS-855. Physicians (doctors of
medicine or osteopathy, dental medicine, dental surgery, podiatric medicine, optometry, and
chiropractic medicine), physician assistants, certified clinical nurse specialists, nurse practitioners,
clinical psychologists, certified nurse midwives, or clinical social workers must establish an
enrollment record in the PECOS if they do not already have a record. The effective date in which
providers must establish records was bumped up to July 6, 2010 in an interim final rule published
by CMS on May 5, 2010. The rule implemented several provisions relating to provider enrollment,
ordering and referring requirements and changes in provider agreements.
Medicare contractors have been directed by CMS to conduct general outreach related to the
PECOS. The outreach includes a one-time letter mailing campaign to every physician and
non-physician practitioner who is active in the Medicare program but does not yet have an
enrollment record in PECOS. CMS Transmittal 712, dated May 28th, contains further information on
the letter mailing.
If your provider needs to enroll in PECOS or update any information, please visit the
Internet-based PECOS.
Change in PECOS Effective Date
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American Society of Clinical Oncology (ASCO)