CMS Reversed Decision to allow Physicians to delegate to someone to enter PECOS Application

CMS has finally reversed their decision as to whether a physician can share their user name and password for the NEPPES in order for an employee or a contractor to enter the data into the PECOS Internet based Application for Physicians. However, CMS has indicated that when the physician signs the Certification required for the PECOS Application they are indicating that they have reviewed all of the data entered into the system and verify that it is correct.

Locum Tenens in the ED


posted here with permission by the author: Jim Blakeman of

Question: A couple of the physicians in our group are considered locums for purposes of our malpractice coverage. I'm wondering if that means any bills submitted using their NPI should have the Q6 modifier included.

**Medicare Learnresource articles for the week of 4/13/09**

The Centers for Medicare & Medicaid Services (CMS) released the following Learnresource articles this week. Visit the WPS Medicare Website at the addresses listed below for more information on the topics. * 2009 Physician Quality Reporting Initiative Program Updates! * CMS Now Accepting Suggestions for Potential 2010 Physician Quality Reporting Initiative (PQRI) Reporting Options

CIGNA Adopts NCCI 4/20/2009 - and more

Modifier Processing and Documentation Requirements

CIGNA will apply CMS National Correct Coding Initiative (NCCI) Incidental and Mutually Exclusive edits and adopt many CMS modifier guidelines beginning April 20, 2009.

See the individual modifier policies for more information. The NCCI Incidental edits and designations are available on the CMS website:

PECOS To be Down April 16-20, 2009

From CMS:

The Centers for Medicare & Medicaid Services (CMS) will be making changes at its Data Center that will affect the Provider Enrollment, Chain and Ownership System (PECOS).

As a result, physicians, non-physician practitioners, and provider and supplier organizations will not be able to access Internet-based PECOS from 9:00 p.m. Eastern Time on Thursday, April 16, until 9:00 a.m. Eastern Time on Monday, April 20.

We apologize for any inconvenience this may cause.

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MLM Releases ICD-9 to ICD-10 Fact Sheets

The General Equivalence Mappings – ICD-9-CM To and From ICD-10-CM and ICD-10-PCS Fact Sheet (March 2009), which provides information and resources regarding the General Equivalence Mappings that were developed as a tool to assist with the conversion of International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) codes to International Classification of Diseases, 10th Edition (ICD-10) and the conversion of ICD-10 codes back to ICD-9-CM, is now available in downloadable format from the Centers for Medicare & Medicaid Services (CMS) Medicare Learning Network a