PECOS, the Provider Enrollment, Chain, and Ownership System, is a national electronic database for recording and retaining data on Medicare-enrolled providers and suppliers. CMS developed PECOS as a mechanism to combat fraud and abuse. When it proposed its plan to launch the use of the PECOS database in October 2001, CMS announced “it will now be possible to link providers/suppliers to the people and organizations with which they have a business relationship and to identify those involved in illegal Medicare activities.”
Medicare for Geeks is written by Donna J. Senft, an attorney and shareholder in Baker Donelson's Health Law Group. Donna has nearly a decade of experience in advising enrolled providers to maintain complete PECOS data and complete revalidations to avoid deactivation or revocation of billing privileges, and to file CAPs and appeals when privileges are lost. She also helps providers with coding and payment issues, peer review and professional standards, and professional disciplinary matters.
Baker Donelson's Health Law Group dates back nearly 35 years, to the beginnings of health law as a recognized practice area. The Group is a leader in providing premier legal services to academic and community hospitals, health systems, long-term care facilities, clinical laboratories, institutional pharmacies, physicians and physician organizations.