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Learn MoreUse of the PECOS system can create efficiencies for your organization and can help accelerate your enrollment process, decrease turn-around-times and increase your revenue by decreasing the amount of money at risk when new providers join your practice.
The Provider Enrollment, Chain, and Ownership System (PECOS) is the Centers for Medicare & Medicaid Services (CMS) online Medicare enrollment system where providers and suppliers can:
The first things that needs to occur is the registration of your Authorized Official and Delegated Official(s) in the I&A System so they can electronically approve transactions like they physically sign paper applications today. The process is relatively straight-forward.
The Centers for Medicare and Medicaid Services (CMS) uses several systems for provider enrollment. The Identity & Access Management (I&A) System is the system where you will register your organization’s Authorized Official (AO), Designated Officials (DOs), Staff End User (SEU) and designate surrogates that will work on their behalf in these systems.
The Identity & Access Management (I&A) System allows you to:
There are various types of users that work in the CMS systems, including PECOS, on an organization’s behalf. The type of user depends on the relationship and duties with the organization. You may designate users who can act on your behalf to manage connections and staff, including appointing and approving other authorized users in the PECOS system.
Today we will focus on designating, inviting and authorizing your Authorized Official (AO) and Delegated Officials (DOs) in the I&A system so they can approve the organization’s applications in PECOS.
It should be noted that since CMS recommends that you designate, invite and authenticate in the I&A system, the same AO and any (DOs) that you have identified as AO or DOs, respectively, on their enrollment in PECOS, this article is following that recommendation. They must be able to legally bind the company, are responsible for approving the staff within the system, and can be approved in the I&A System based on their status in PECOS.
To work on behalf of a provider or supplier organization in PECOS, the organization must designate, invite, and authenticate the Authorized Official as their AO.
Please note that the AO must meet the regulatory definition of “authorized official” as defined in the Medicare program.
The invited AO must respond to their employer’s invitation to be an AO or initiate the request themselves.
When validation is completed, if your organization has not established an account in the I&A System, the AO can establish one. If an I&A System account has been established, your organization may now submit enrollment applications in PECOS.
AOs will use this same process to invite DOs. AOs may appoint DOs to act on their behalf to approve and/or reject emails generated from the system.
When authenticated as an AO, you may use PECOS on behalf of the organization. You may also choose to delegate this responsibility to a (DO), Staff End User (SEU), or surrogate.
As an AO, you are responsible for approving requests submitted from system users to work on behalf of the organization in PECOS. You should check your email regularly and take action on requests or you may delegate this responsibility to a (DO).
It should be noted that only AOs can sign an initial enrollment application on behalf of an organization. A DO can sign changes, updates and revalidations.
When you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
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View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementComprehensive, industry-leading provider onboarding and credentialing software that validates health outcomes and supports provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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