Alert – CMS PECOS Release 7.37 Implementation Update

Presenters/Authors
Health Care Labor Productivity Benchmarking & Improvement

Recently, CMS issued two items pertaining to the Provider Enrollment Chain Ownership System (PECOS).

Glitches in Release 7.37

To help bring efficiencies to Medicare Administrative Contractors (MAC) and providers who use PECOS, CMS implemented PECOS Release 7.37 on June 30, 2019. Many aspects of the release were successful. However, a small component associated to changes made to existing and new group reassignments (usually associated with clinic/group practices and certain other provider classifications) was found to have issues post-implementation. As a result, data that flows from PECOS to the Multi-Carrier System (MCS) for these types of changes are delayed for all MACs to proactively correct the issue.   

CMS is working to resolve this issue as quickly as possible. This change doesn’t affect a provider’s ability to submit enrollment applications; however, attempts to enroll with the Electronic Data Interchange (EDI) could be delayed. CMS will release an update when the issue is fixed to allow EDI enrollments to occur. In addition, any claims submitted from an approved enrollment may need to be resubmitted after the fix, due to the system not recognizing the provider’s NPI/PTAN in the claims system. Again, CMS will advise when the fix is completed. 

As noted above, there’s no disruption of any other type of enrollment activity, and in fact, reassignments can still be submitted, although EDI and claims associated with any changes may need to be resubmitted at a later date. 

Multifactor Authentication Comes to I&A & NPPES

Effective in September 2019, CMS will implement multifactor authentication (MFA) in PECOS. With this change, providers will log in to PECOS’ Identity and Access (I&A) System as usual but will use a second-factor authentication process to obtain a verification code. For time-sensitive changes to PECOS, we recommend logging in shortly after the webinar to ensure contact information used to deliver the verification codes is current. In December, MFA also will be implemented for the National Plan and Provider Enumeration System (NPPES), the primary source for National Provider Identifiers.

CMS hosted a webcast covering these and other changes to PECOS. Visit the CMS website to download the presentation PDF, audio recording and transcript. For more information, reach out to your BKD trusted advisor or use the Contact Us form below. 


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