Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
To assist physician and NPP organizations and
individual practitioners in enrolling and updating their
existing enrollment record, we established an
Internet-based enrollment process known as the
Internet-based Provider Enrollment, Chain and Ownership
System (PECOS) that is more streamlined and efficient than
the traditional paper-application enrollment method.
By using Internet-based PECOS, we expect that
physician and NPP organizations and individual
practitioners will be able reduce the time necessary to
enroll in the Medicare program or to make a change in their
Medicare enrollment record by reducing common errors in the
application submission process. We expect that Medicare
contractors will fully process most complete Internet-based
PECOS enrollment applications within 30 to 45 calendar days
compared to 60 to 90 calendar days in the current
paper-based enrollment process. Thus, if physician and NPP
organizations and individual practitioners enroll in the
Medicare program or make a change in their existing
Medicare enrollment using Internet-based PECOS and submit
required supporting documentation, including a signed
certification statement, licensing and education
documentation, and, if necessary, the electronic funds
transfer authorization agreement (CMS-588) 45 days before
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