Overview:

The long-anticipated transition to PECOS 2.0 has officially arrived, bringing transformative changes to Medicare enrollment procedures. This comprehensive overhaul demands careful examination as it fundamentally alters how organizations manage provider participation in the Medicare program. Every aspect of the updated application process carries significant implications for both institutional providers and individual practitioners. The new PECOS 2.0 platform will redefine enrollment and revalidation workflows, making urgent understanding of these updates essential for professionals responsible for Medicare credentialing.

Mastering the PECOS 2.0 system is critical to preventing payment disruptions and maintaining eligibility to serve Medicare beneficiaries. Join expert Yesenia Servin for an in-depth exploration of the new platform, featuring actual screenshots and practical examples to ensure accurate Medicare enrollment and validation processes.

Learning Objectives

• Examine the comprehensively updated PECOS workflow and interface

• Analyze each sequential step of the Medicare enrollment process within PECOS 2.0

• Understand the restructured provider enrollment methodology

• Implement effective group member management strategies

• Apply proactive measures to prevent revalidation denials

• Navigate the redesigned revalidation procedures

• Identify updated enrollment timelines and compliance deadlines

• Utilize enhanced application tracking capabilities

• Master modified processes for sole proprietors expanding service locations

• Implement multi-state and multi-location provider management strategies

• Establish efficient enrollment oversight procedures for organizational leadership

Areas Covered in the Session

• CMS's comprehensive PECOS 2.0 redesign

• Initial enrollment and revalidation procedures within the new platform

• Multi-organization, multi-state, and multi-provider access management

• Optimized processes for Medicare application and revalidation oversight

• PECOS 2.0 interface redesign and functionality expectations

• Legacy data migration and transfer protocols

• Medicare Administrative Contractor (MAC) coordination updates

• Enhanced user interface and experience improvements

• Implementation timelines and strategic next steps

• Screen sharing capabilities with MAC representatives

• Specialized protocols for DME suppliers

• Ordering and prescribing provider requirements

• Mental health provider enrollment specifications (LCPC, LMFT)

• Rural Health Clinics, Critical Access Hospitals, and hospital enrollment

• Change of Ownership (CHOW) procedures

• Organizational ownership data requirements

• Significant system enhancements and updates

• Revalidation notification improvements

• Real-time processing capabilities

• Advanced system functionalities

• Automated data pre-population features

• Consolidated application processing

• Real-time status monitoring

• Group practice and member management

• Revalidation preparation strategies

• Future development roadmap

• Participating versus Non-Participating provider considerations

Suggested Attendees

• Credentialing Specialists

• Revenue Cycle Managers and Directors

• Enrollment Specialists

• Hospital Administrators and Leadership

• Mental Health Providers (LCPC, LMFT)

• Practice and Clinic Owners

• Authorized and Delegated Officials

• Office Managers

• Operations Personnel

• Billing Team Members

• In-Network and Out-of-Network Providers

• Medical Billing Company Staff

• Physician Office Personnel

• Facility Administration

• Insurance Company Representatives

• Healthcare Attorneys

• Executive Leadership and Administrators

• Front Desk and Scheduling Staff

• Authorization Team Members

• Clinical Support Staff (Medical Assistants, CNAs)