As you can imagine, we process thousands of applications every year so it’s not uncommon for us to find issues with various online payer applications. There are always bugs that need fixing and thankfully, this usually occurs pretty quickly. We utilize PECOS for all of our group enrollments, reassignments and DME applications as I’m sure many of you do. This particular bug with PECOS’ latest release has proven to be especially problematic which is why we are posting about it. My hope is that this will be corrected by the end of July but in the meantime, we forced to submit paper applications in some instances.
The below information and questions are from First Coast Service Options which is the MAC for Florida, Puerto Rico and USVI. While this is from FCSO, the problem is universal across( all MACs due to it being a technical glitch at PECOS (thus CMS) rather than one of the MAC’s websites.
PECOS Press Release
On June 30, 2019, PECOS Release 7.37 was implemented. This release was prescheduled and designed to bring efficiencies to Medicare Administrative Contractors (MACs) and providers who use PECOS. While many aspects of the release were successful, a small component associated to changes made to existing and new group reassignments, was found to be problematic post-implementation. As a result, data flows from PECOS to the Multi-Carrier System (MCS) for these changes have been delayed for all MACs to proactively correct the identified issue.CMS has assembled a team with accountability for resolving this issue. The team is working tirelessly to resolve the issue by July 16, 2019.
Potential Questions and Answers that you may have:
Q: Can I continue to submit enrollment applications?A: Yes, please continue to submit applications as you do today. Internet-based PECOS applications are the quickest method of submission and processing, although you may submit either via Internet-based PECOS web or paper applications. Application processing will continue at each of the MACs as normal. Please also continue to respond to requests for additional information.
Q: My PECOS enrollment record has been approved, but when I attempt to enroll with EDI they indicate my provider/supplier is not present in the claims system. Is additional action needed on my part?A: No, we will update this article when a fix has been deployed and at that time you can enroll with EDI.
Q: My PECOS enrollment record has been approved but when I submit claims, they cannot be processed because the NPI/PTAN is not present in the claims system. Is additional action needed on my part?A: No, we will update this article when a fix has been deployed and at that time you can resubmit claims for processing.
Additional information can be found here: