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  1. How can I tell if I have an enrollment record in PECOS?
    There are three ways to verify that you have an enrollment record in PECOS: 1. Check the Ordering Referring Report on the CMS website. If you are on that report, you have a current enrollment record...
    Date Updated: 06/16/2010
    Answer ID: 10037
  2. I thought Medicare was always primary. How do you determine if Medicare is primary or secondary?
    In most cases, Medicare is primary. Some of the most common situations where Medicare can pay secondary are:-The individual or his/her spouse is currently employed/working and covered under an...
    Date Updated: 03/26/2010
    Answer ID: 871
  3. What is CMS?
    The Centers for Medicare & Medicaid Services (CMS) is a branch of the U.S. Department of Health and Human Services. CMS is the federal agency that administers the Medicare program and monitors...
    Date Updated: 03/18/2010
    Answer ID: 1
  4. What is the purpose of the National Provider Identifier (NPI)? Who must use it, and when?
    The purpose of the National Provider Identifier (NPI) is to uniquely identify a health care provider in standard transactions, such as health care claims. NPIs may also be used to identify health...
    Date Updated: 05/26/2010
    Answer ID: 2623
  5. How do I obtain the CCI Edits Manual?
    The Correct Coding Initiative (CCI) Edits Manual may be obtained in two ways. The first is through the CMS website at http://www.cms.hhs.gov/NationalCorrectCodInitEd/. The CMS website contains a...
    Date Updated: 06/23/2010
    Answer ID: 3356
  6. If a health care provider with an NPI moves to a new location, must the health care provider notify the NPPES of its new address?
    Yes.  A covered health care provider must notify the NPPES of the address change within 30 days of the effective date of the change. We encourage health care providers who have been assigned...
    Date Updated: 04/13/2010
    Answer ID: 2629
  7. Could you clarify CMS’ policy about the homebound status of home health patients who can drive?
    The Benefit Policy Manual (Internet-Only Manual 100-02, Chapter 7, Section 30.1.1) explains in detail what it means to be homebound. While we have excerpted portions below, please see the manual for...
    Date Updated: 06/24/2010
    Answer ID: 9070
  8. Who is eligible to receive a National Provider Identifier (NPI)?
    The National Provider Identifier (NPI) was adopted as the standard unique health identifier for health care providers to carry out a requirement in the Health Insurance Portability and Accountability...
    Date Updated: 05/26/2010
    Answer ID: 2621
  9. [EHR Incentive Program] How will eligible professionals (EPs) and eligible hospitals apply for incentives under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program?
    Information on registration for EHR incentive programs will be available toward the end of 2010 on our website at http://www.cms.gov/EHRIncentivePrograms. Registration for the Medicare EHR Incentive...
    Date Updated: 07/30/2010
    Answer ID: 9814
  10. How can a health care provider apply for and obtain a National Provider Identifier (NPI)?
    A health care provider may apply for an NPI in one of three ways: 1. Apply through a web-based application process. The web address to the National Plan and Provider Enumeration System (NPPES) is...
    Date Updated: 03/18/2010
    Answer ID: 2626
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