Computer Applications Unlimited, Inc.

If you bill Medicare, by now you’re painfully familiar with ineligible ordering/referring provider edits. Medicare requires that for you to receive payment for providing medical equipment, the ordering or referring doctor must be enrolled with Medicare’s Provider Enrollment, Chain and Ownership System (PECOS) system.

Right now, Medicare’s ineligible ordering/referring provider edits just alert you to a potential problem. However, on April 5, Medicare will begin rejecting claims if the ordering or referring doctor hasn’t enrolled in PECOS.

So what can you do? If you use CAU’s HME software, the answer is "take a deep breath and relax." We’ve got you covered.

To help you get the reimbursement that’s rightfully yours, we’ve enhanced our HME software to ensure that you receive the correct physician information directly from PECOS.

For example, any physician in the PECOS database displays in green in our Web Edition HME software. No downloading the huge PECOS PDF; no manual searching necessary.

If you wish to reference the PECOS database, we’ve added a smart lookup within Web Edition to make it as easy as possible for you. You never have to leave Web Edition to get the PECOS answers you need.

Over-regulation erects barriers to your success; we knock ‘em down. That’s just the way we prefer to serve our user base.

Please contact me, Brian Williams, to see this complimentary enhancement in action. It’s available to you today.