PECOS Enrollment Needed for Medicare EHR Incentive Payments

Eligible professionals must have an enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) in order to receive a Medicare Electronic Health Record (EHR) incentive payment.

Many providers don't realize they can bill and receive payments from Medicare and not be in the PECOS system, but if they aren't enrolled, they will lose out on the EHR incentives. So, act now to verify that you have an enrollment record in PECOS.  If you do not have an enrollment record in PECOS, you should establish your enrollment record now.

If you have submitted a Medicare enrollment application within the last 90 days, and your enrollment application has been accepted for processing by the carrier or A/B Medicare Administrative Contractor (MAC,) you need not take any additional actions.  (You will be contacted by your carrier or A/B MAC if additional information is needed.)

 To find out if you  have an enrollment record in PECOS, choose one of the following:

 1.     Use Internet-based PECOS to look for your PECOS enrollment record. (You will need to first set up your access to Internet-based PECOS.)  Go to Verify PECOS Record for more information.   If no record is displayed, you do not have an enrollment record in PECOS.

2.     Check the Ordering Referring Report on the CMS website. If you are of a specialty permitted to order and refer and you are on that report, you have a current enrollment record in PECOS. Go to Ordering and Referring Report .

 3.     Contact your designated Medicare enrollment contractor and ask if you have an enrollment record in PECOS. Go to Contractor List  for contact information.

 If you don’t have an enrollment record, Internet-based PECOS is the fastest and most efficient way to submit your enrollment application. For instructions, see  Basics of Internet-based PECOS for Physicians and Non-Physician Practitioners .  If you encounter problems or have questions as you navigate the system, there is help available .

Electronic Health Record Incentives – Get the Facts from CMS  

www.cms.gov/EHRincentiveprograms