Q9. What types of enrollment applications can provider and supplier organizations do by using Internet-based PECOS?
Provider and supplier organizations can do the following types of enrollment applications using Internet-based PECOS:
Establish a new enrollment record – This occurs when the provider or supplier
organization does not have an existing enrollment record in PECOS.
Make a change to information in an existing enrollment record – This occurs when the provider or supplier organization has at least one existing enrollment record in PECOS and is reporting a change of information to that record.
Reactivate enrollment – This occurs when a provider or supplier organization reactivates an existing enrollment record that had been deactivated in PECOS.
Voluntarily withdraw from Medicare – This occurs when a provider or supplier
organization takes the action to withdraw from the Medicare program.
10. If a Medicare contractor requests that my hospital revalidate its Medicare enrollment information, can the hospital use Internet-based PECOS to do this?
Yes.
Q11. My facility’s information has changed. Must that information be updated?
Yes. Following initial enrollment, a provider or supplier organization is required to report certain changes in the enrollment record. For more information about reporting changes, go to the Medicare provider/supplier enrollment web page
(www.cms.hhs.gov/MedicareProviderSupEnroll) and review the applicable reporting responsibility fact sheet available in the Downloads Section.
Q12. What is a “reportable event”?
A reportable event is any change that affects information in a Medicare enrollment record. A reportable event may affect claims processing, claims payment, or a provider or supplier organization’s eligibility to participate in the Medicare program.
For a list of reportable events, go to the Medicare provider/supplier enrollment web page (www.cms.hhs.gov/MedicareProviderSupEnroll) and review the applicable reportable event fact sheet available in the Downloads Section.
Q13. What days and times will Internet-based PECOS be available?
We expect that Internet-based PECOS will be available from 5:00 a.m. to 1:00 a.m. Eastern Time, Monday through Saturday.
Q14. What is the Certification Statement?
The 2-page Certification Statement lists additional requirements that provider and supplier organizations must meet and maintain in order to bill the Medicare program. This is similar to the information in Section 14 of the CMS-855A. Read these requirements carefully. By signing and dating the Certification Statement, the Authorized Official of the provider or supplier organization is attesting to having read the requirements and understanding them.
Q16. What are the penalties for falsifying information when using Internet-based PECOS?
During the application submission process in Internet-based PECOS, the “Penalties for Falsifying Information” page, which has the same text as its counterpart on the paper Medicare enrollment application, informs the user of the consequences of providing false information on the enrollment application. The user must acknowledge the “Penalties for Falsifying Information” page by clicking the “Next Page” button before continuing with the Internet
submission process.