Pecos Registration

Pecos registration by referring
physicians will probably prevent
economic denial of medicare
claims for any service requiring a
referral. Suppose you are a
radiologist and wish
to earn a living. Or perhaps you
are a hospital administrator and
wish to not show a
loss of cash flow for the hospital.
If a physician is not registered in
Pecos or does not
have Pecos registration, then any
referrals by that physician for
medicare beneficiaries
will probably not be paid for by
medicare sometime begining
approx. Jan 3 2011.

Please do not make the same
mistake I made. I registered for a
medicare PTAN number in New
Jersey and had no problem
whatsoever getting into the
PECOS system for New Jersey. My
secret is that I avoided the online
computer system and submitted
a printed form. If you call
medicare enrollment and ask
them how many problems
providers were having with
electronic enrollment in PECOS vs
sending in a printed form why not
ask this direct question: How
many online electronic PECOS
applications were clean
applications? That is how many
applications went through
electronically online without the
need for Medicare to request
additional information
because material or data was left
out? Please understand that
when I filled out the electronic
version of the application and
printed this out the certification
page on this printed out form was
the wrong certification page. I
needed to print out a different
certification page. Now if I printed
out the PECOS application and
mailed it in, that certification
page on the printed out
application that gets mailed in I
believe was the correct
certification page. This is
probably why I had no problem
when I avoided registring in New
Jersey by avoiding the electronic
application entirely. If you
ask Medicare if you can mail in a
printed application to obtain
PECOS registration and they say
yes why not just mail it.

DISCLAIMER: Do not rely on any of the
information on this website. This website only
contains the personal opinions of Dr. Chaskin
Podiatrist. Please only rely upon the valid
information given by Medicare.
Please consider the advantages of mailing the
PECOS registration application.
disclaimer: Do not rely on any of the above
information but instead call medicare directly
and ask them if it is possible to mail in a
printed application and how to go about doing
so. Also check with Medicare as to the accuracy
of any of the information posted on this
website.

What makes more sense? To send in
an electronic PECOS application
online and then to seperately mail in
a signed certification statement and
hope this is the corret certification
statement and not the wrong
outdated certification statement. If
you choose to do this online and
print out what you submitted online,
I personally would not sign the
statement on what was printed out
but call medicare and ask for
explicit instructions on how to obtain
the correct certification statement
that needs to be mailed in. Then I
would hope that the certification
statement would be matched with
the online appliction. If you are a
physician in New York isn't it a
whole lot easier and better for you
to insist on not sending in a PECOS
application online but to mail in the
entire application as a whole and
calling medicare at 866 837-0241
and insisting on having that entire
application faxed to you so you can
fill it out and mail it back to
Medicare? You also can call NGS
medicare and ask for instructions
how to get the 3 forms needed.
Call the telephone number and be
sure to ask how to print out the
following 3 forms if you are an
individual physician:

CMS 855i

CMS 588

and

CMS 460

and all supporting documents need
to be mailed in that are required.
Once you get the 3 above forms I
suggest that you read them
carefully.

I believe I made a mistake by applying to PECOS
online instead of mailing in the entire application with
all supporting documents. At the bottom of the
website is a link to a video regarding Pecos
Registration. This video will take a long time to load.
Also, please consider listening to the fictional podiatry
music by clicking the U tube link below:

This is a stressful time for many
physicians. I believe humor is a great
way to deal with the stress. Therefore
I wrote some humerous music
whereby a physician can laugh and be
placed in a good mood while applying
for the PECOS registration. Please
understand that this music is
copyrighted and not to be
downloaded or shared or broadcast. It
is solely for the enjoyment of the
reader while reading the information
on this website. Please do not
download or save the video on your
computer.

What is better,
Choice A- electronically filling
out an application that needs to
be matched with a signed
certification statement and you
have to be concerned you sign
the correct certification
statement, or
Choice B- printing out the entire
application and all supporting
documents and mailing it and
having everything sent in
together? Why not ask Medicare
if 1000 applications went in with
the procedure of choice A and
1000 applications went in with
the procedure of choice B how
many of those applications were
approved without any errors out
of those 1000 when you compare
choice A vs choice B.

I need your help. After you listen to the fictional podiatry music please ask
yourself the following question:
Is there a proposed law in NY that accepts podiatry residency training in
order for a podiatrist to be granted the privilege to perform ankle surgery no
matter how outdated or long ago such a podiatric residency training
program was completed? How does this relate to current competency at
ankle surgery? If currently competency at ankle surgery is being
required for licensure shouldn't this criteria be uniformly applied to all current practicing
podiatrists in NY? Why should there even be a need for current competency at ankle surgery
for a podiatrist to be granted basic licensure at ankle surgery? Aren't there already laws and
restrictions that prevent podiatrists from performing procedures they are licensed to
perform and yet not currently competent at performing them?
Please go to the website:
http://www.nypodiatry.com
All podiatry music on this website is copyrighted so please do
not download or save this music on your computer.

If medical doctors are licensed but not currently competent at performing every medical
and surgical procedure in the human body then why can't all currently practicing
podiatrists in NY become licensed but not currently competent at performing every ankle
surgical procedure in NY?
I believe that in general medicine when a doctor graduates from medical school they then
complete residency training. They apply for state licensure and obtain unrestricted
licenses which I believe opens up the door for them to upgrade their current competence
in any specialty that they choose. Does this mean they are currently competent to perform
all medical and surgical procedures?
In podiatry whenever a state increased it's scope of practice I believe that it included
all podiatrists currently practicing within that state to be granted the increase in scope
such as the license to perform ankle surgery within their licenses. Does this mean that
they are currently competent to perform ankle surgery? Would this process instead
open up the door so they can acquire the training and or experience to become currently
competent at performing such privileges? If medical doctors are licensed but not
currently competent at performing every medical and surgical procedure in the human
body then why can't all currently practicing podiatrists in NY become licensed but not
currently competent at performing every ankle surgical procedure in NY?