Steps to Using Internet-Based PECOS

Size: px
Start display at page:

Download "Steps to Using Internet-Based PECOS"

Transcription

1 Steps to Using Internet-Based PECOS PECOS can be used in lieu of the Medicare enrollment application to: Submit an initial Medicare enrollment application. View or change your enrollment information. Track your enrollment application through the web submission process. Add or change a reassignment of benefits. Submit changes to existing Medicare enrollment information. Reactivate an existing enrollment record. Withdraw from the Medicare Program. Submit a Change of Ownership (CHOW) of the Medicare-enrolled provider. Advantages of Internet-based PECOS: Faster than paper-based enrollment. Tailored application process means you only supply information relevant to YOUR application. Gives you more control over your enrollment information, including reassignments. Easy to check and update your information for accuracy. Access PECOS at: The PECOS sign-in page will look like this:

2 A facility (e.g. hospital, clinic, ASC, FQHC) or supplier (e.g. ambulance, DME) cannot log into PECOS using the NPPES user name and password that was established to obtain an organizational NPI. Facilities and suppliers will be required to register for an Identity and Access (I&A) account that establishes an Authorizing Official (AO) for internet based PECOS. Once the AO has been approved for an I&A account, a delegated official and PECOS End user(s) can be established by the AO. The AO must register for an I&A account first before being able to log into PECOS. Click the link to register for a user account (establish user ID and password). View the CMS Creating an Account video on how to obtain an I&A account. Authorizing Officials that do not have an I&A account must register. The next few slides show the registration process.

3 On the next screen, select Yes to continue the registration process. On the next screen accept the terms and conditions.

4 Enter your address and security image then the Submit button. Assign a User ID and password and then answer 5 security questions.

5 On the next screen, enter the required personal information. Confirm your identity.

6 A successful registration will receive the below screen. The next step is to add the facility and AO, DO and user roles. View the CMS How to Register as an Authorizing Official for your Organization

7 Once the AO s I&A account has been approved, log back into the I&A system with the user name and password that was established during registration and click on the My Profile tab to begin the process of adding the facility and establishing AO, DO and End User roles. Scroll to the bottom of the My Profile page and click on the Add an Employer.

8 Add the NPI of the facility and SEARCH. The AO will select their role; click the agree button and submit.

9 The facility (employer) has now been added. If the AO is the same as what is in the enrollment file, then approval should be automatic. If the AO is not the same, follow the instructions on the screen. Once approved, the AO can delegate staff as PECOS End users and delegated officials. End users will be able to enter and update PECOS information. View the CMS video Setting up Staff.

10 The AO will log into the I&A system and click on the My Staff tab. Click on Add Staff

11 Enter the employee s information and their role. Verify the employee information you have entered and select CONTINUE.

12 After an employee has been successfully added they will receive an notifying them to register with I&A. The End users will receive an after the AO has entered their name and . All employees delegated by the AO to use PECOS, must register (follow instructions in PECOS ). In the , the End user will be assigned a PIN and a link to log in. The User will use the that the AO assigned and the PIN in the .

13 If the User already has an I&A account, they will log in using their user name and password. Otherwise, they must register for an I&A account. After logging into the I&A system, the user will click on the My Account and see that an employer has been added to their account.

14 Now that an End User has been added to the I&A account, they will be able to enroll or assist new providers through the PECOS system. To use PECOS, individual practitioners will need the user ID and password that was established when they obtained their NPI. If they do not remember or have this information, they can contact the NPI Enumerator at , or click on the Forgot Password or Forgot User ID links on the PECOS sign-in page. On the internet PECOS website, CMS has posted videos on enrolling or changing information in PECOS. View these videos for instructions on completing individual or organizational enrollment processes.

15 All documentation required with an enrollment application can now be uploaded to internet PECOS, instead of being mailed separately. There are two options to obtain the AO or DO signatures on the certification page; either mail the certification or obtain an electronic signature. The certification pages that are normally signed by the AO or DO, can now be done electronically, instead of being mailed. A PECOS can be sent to the AO or DO for an electronic signature. Resources: Internet based PECOS CMS YouTube Enrollment Videos: Initial Enrollment of an Individual Provider Initial Enrollment of an Organization/Supplier Revalidation of an Individual Provider Revalidation of an Organization/Supplier Change of Information for an Individual Provider Change of Information for an Organization/Supplier

Electronic Signature How To Guide

Electronic Signature How To Guide Electronic Signature How To Guide Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) now allows providers and suppliers to electronically sign Medicare enrollment applications. Utilizing

More information

Medicare Enrollment Guide for Individual Physicians

Medicare Enrollment Guide for Individual Physicians Medicare enrollment processes have changed considerably over the years, and even more so with the introduction of national provider identifiers (NPIs). The enrollment application process for individuals

More information

I&A System Quick Reference Guide

I&A System Quick Reference Guide I&A System Quick Reference Guide I&A System Quick Reference Guide... 1 I&A Features... 2 What Type of User are You?... 3 What You Can Do?... 4 Examples Setting Up Your Account... 4 Examples Common Connection/Surrogate

More information

Identity & Access Frequently Asked Questions (FAQs)

Identity & Access Frequently Asked Questions (FAQs) Contents Contents... 1 General... 2 Registration... 7 My Profile... 9 Employer Information... 11 My Connections... 15 My Staff... 22 Appendix A Acronyms, Key Terms, and Definitions... 25 6/27/2015 1 General

More information

Getting Started With. Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Information for Provider and Supplier Organizations

Getting Started With. Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Information for Provider and Supplier Organizations Getting Started With Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Information for Provider and Supplier Organizations June 1, 2009 The Centers for Medicare & Medicaid Services

More information

A Beginner s View of the Provider Enrollment Chain & Ownership System (PECOS)

A Beginner s View of the Provider Enrollment Chain & Ownership System (PECOS) E S Cahaba Presents: A Beginner s View of the Provider Enrollment Chain & Ownership System (PECOS) PRESENTED BY PART B PROVIDER OUTREACH & EDUCATION MAY 23, 2013 1 DISCLAIMER This resource is not a legal

More information

Streamlined Access to PECOS, EHR, and NPPES. November 15, 2013

Streamlined Access to PECOS, EHR, and NPPES. November 15, 2013 Streamlined Access to PECOS, EHR, and NPPES November 15, 2013 Medicare Learning Network This MLN Connects National Provider Call (MLN Connects Call) is part of the Medicare Learning Network (MLN), a registered

More information

Internet-based PECOS Getting Started. Internet-based Provider Enrollment, Chain and Ownership System for Physicians and Non-Physician Practitioners

Internet-based PECOS Getting Started. Internet-based Provider Enrollment, Chain and Ownership System for Physicians and Non-Physician Practitioners Internet-based PECOS Getting Started Internet-based Provider Enrollment, Chain and Ownership System for Physicians and Non-Physician Practitioners July 20, 2010 Physicians and non-physician practitioners

More information

Medicare Enrollment Guide for Individual Physicians

Medicare Enrollment Guide for Individual Physicians Medicare enrollment processes have changed considerably over the years, and even more so with the introduction of national provider identifiers (NPIs). The enrollment application process for individuals

More information

(EHR) Incentive Program

(EHR) Incentive Program REGISTRATION USER GUIDE For EI ig i ble Hospita Is Medicare and Medicaid Electronic Health Record (EHR) Incentive Program December 2014 (12.17.14 ver6) Disclaimer CONTENTS Step 1...Getting started 3 Step

More information

Meaningful Use: Registration & Attestation Eligible Professionals

Meaningful Use: Registration & Attestation Eligible Professionals Meaningful Use: Registration & Attestation Eligible Professionals Meaningful Use Webinar Overview Registration & Attestation: Review Registration Requirements Step by Step Instructional: EHR Incentive

More information

Availity s Streamlined Registration Approval Process for Providers in All Regions

Availity s Streamlined Registration Approval Process for Providers in All Regions Availity s Streamlined Registration Approval Process for Providers in All Regions Overview The Availity registration process includes four distinct paths customized by organization type: Provider Physician

More information

STEP 3: Medicaid First Year Payment State Attestation. Medicaid First Year Incentive Payment Webinar Series

STEP 3: Medicaid First Year Payment State Attestation. Medicaid First Year Incentive Payment Webinar Series STEP 3: Medicaid First Year Payment State Attestation Medicaid First Year Incentive Payment Webinar Series Primary Care Information Project NYC Department of Health & Mental Hygiene Pre-attestation Checklist

More information

4H Online Re-Enrollment

4H Online Re-Enrollment 4H Online Re-Enrollment This instruction sheet if for returning 4H members only! 1. Navigate to the site ne.4honline.com. You will see changes have been made to the site since last time you logged in.

More information

Demystifying the Medicare Provider Enrollment Process

Demystifying the Medicare Provider Enrollment Process Demystifying the Medicare Provider Enrollment Process Christine Bachrach, Esq. Vice President & Chief Compliance Officer, University of Maryland Medical System Heidi A. Sorensen, Esq., Foley & Lardner,

More information

How to set up a ONe-Key ID, OneSource Account, and MOE Account

How to set up a ONe-Key ID, OneSource Account, and MOE Account To access the Environmental Activity and Sector Registry (EASR), you will need a: ONe Key ID ONe Source for Business profile Ministry of the Environment (MOE) account 1. Go to ontario.ca/onesource and

More information

JK: Provider Enrollment 855I and 855R 1532_0214

JK: Provider Enrollment 855I and 855R 1532_0214 JK: Provider Enrollment 855I and 855R 1532_0214 Presenters Carleen Parker Provider Outreach & Education Donna Pisani Provider Outreach & Education 2 National Government Services, Inc. Disclaimer National

More information

Medicare Shared Savings Program. Managing your ACO Participant List and ACO Participant Agreement Guidance

Medicare Shared Savings Program. Managing your ACO Participant List and ACO Participant Agreement Guidance Medicare Shared Savings Program Managing your ACO Participant List and ACO Participant Agreement Guidance Version 3.5 June 2015 Revision History # Version Guide Date Revision/Change Description Affected

More information

Table of Contents. Lesson 5: Assign Delegate...30 Objectives... 30 Assign A Delegate... 30 Edit Delegate Permissions... 33

Table of Contents. Lesson 5: Assign Delegate...30 Objectives... 30 Assign A Delegate... 30 Edit Delegate Permissions... 33 Supervisor Manual Table of Contents Lesson 1: Login... 1 Objectives... 1 Log In to IR University... 1 Retrieve Forgotten Password and/or User ID... 3 Using the IR University Help System... 6 Lesson 2:

More information

Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4

Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4 Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4 Broker Authentication 1. From the TrustFunds website homepage, click Get Started Now to begin your Authentication

More information

Steps for IBEW Members to Apply to Norco College Creating an Account to Apply

Steps for IBEW Members to Apply to Norco College Creating an Account to Apply Steps for IBEW Members to Apply to Norco College Creating an Account to Apply Step 1: Go to www.norcocollege.edu Click Apply Now Step 2: Scroll to the bottom of the page, and click Click Here to Begin

More information

CERTIFY EDUCATE ACE CERTIFICATION PROCESS

CERTIFY EDUCATE ACE CERTIFICATION PROCESS ACHIEVE CERTIFY EDUCATE ACE CERTIFICATION PROCESS ACE LOGIN The first step in taking your ACE certification is to log in at RegisterASA.com You can use the Need help logging in? link to reset your login

More information

ONLINE REGISTRATION FOR CDF APPLICANTS

ONLINE REGISTRATION FOR CDF APPLICANTS ONLINE REGISTRATION FOR CDF APPLICANTS TO: FROM: RE: Cultural Development Fund Applicants NYC Department of Cultural Affairs Online Registration Each organization seeking support from the Cultural Development

More information

How to Add or Change a Billing Agent and Other Claim Submission Options in NCTracks

How to Add or Change a Billing Agent and Other Claim Submission Options in NCTracks How to Add or Change a Billing Agent and Other Claim Submission Options in NCTracks Overview This user guide provides step-by-step instructions for adding or changing a billing agent or making other claim

More information

NY State Medicaid Meaningful Use Registration & Attestation

NY State Medicaid Meaningful Use Registration & Attestation NY State Medicaid Meaningful Use Registration & Attestation Developed & Co-Presented by CHCANYS & HCNNY Lisa Perry, Sandy Worden, Stephanie Rose, Desiree Railine, Jenna Cooper February 7, 2012 Our Goals

More information

Online Class Registration Quick Guide for Students

Online Class Registration Quick Guide for Students Online Class Registration Quick Guide for Students The purpose of this document is to help students get started with the OCR System. This document will explain about the Login, the general class registration

More information

MEDICARE ENROLLMENT APPLICATION

MEDICARE ENROLLMENT APPLICATION MEDICARE ENROLLMENT APPLICATION REASSIGNMENT OF MEDICARE BENEFITS CMS-855R SEE PAGE 2 FOR INFORMATION ON WHERE TO MAIL THIS APPLICATION. DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID

More information

Physician Quality Reporting System (PQRS) Physician Portal

Physician Quality Reporting System (PQRS) Physician Portal The American College of Radiology Physician Quality Reporting System (PQRS) Physician Portal User Guide January 29, 2016 American College of Radiology 1891 Preston White Drive Reston, VA 20191-4397 Copyright

More information

User Guide. Foreign Professor/Researcher

User Guide. Foreign Professor/Researcher User Guide Foreign Professor/Researcher 1 Registration and Login In order for you to register as a Foreign Professor/Researcher in the General Registry of the Information System "Apella", you need to create

More information

Training and Certification Frequently Asked Questions

Training and Certification Frequently Asked Questions Training and Certification Frequently Asked Questions Certification basics: Who needs to be certified and why? Who needs to be certified for 2015? Why do I have to be certified? I was certified last year.

More information

Process: Self Service

Process: Self Service How Do I Login to the Online Vendor Self-Service Application? 1. Using the information provided in the email sent to the primary Contact: Navigate to the URL for the application, the PeopleSoft Sign In

More information

PQRS Quality Reporting System www.mshregistry.com

PQRS Quality Reporting System www.mshregistry.com PQRS Quality Reporting System www.mshregistry.com This Guide is intended for US Oncology Network Members Sections I. How to Access the PQRS Quality Reporting System II. How to Log into the PQRS Quality

More information

3. Delegate access to your book of business through Client portfolio

3. Delegate access to your book of business through Client portfolio New Business Now online access Steps for Gold Key advisors To take advantage of this exciting new way of doing business, we want to ensure you have the access you need. Following the steps outlined here

More information

Online Application Directions for Abington Health. Log onto www.abingtonhealth.org and scroll to the bottom of the page.

Online Application Directions for Abington Health. Log onto www.abingtonhealth.org and scroll to the bottom of the page. Online Application Directions for Abington Health Log onto www.abingtonhealth.org and scroll to the bottom of the page. Click on Employment at the bottom of the page. Click on one of the Search buttons

More information

Broward College Dual Enrollment Ordering and Returning Textbooks

Broward College Dual Enrollment Ordering and Returning Textbooks Ordering Books Textbooks for Dual Enrollment courses should be ordered online and picked up at the Broward College Bookstore. When books are ordered, students will be emailed an order number. The order

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Medicare Shared Savings Program Contents General Questions... 1 *NEW* Assignment... 5 ACO Participant List... 5 *UPDATED* Form CMS-588 Electronic Funds Transfer (EFT)... 7 Governing

More information

Medicaid Electronic Health Record (EHR) Incentive Program

Medicaid Electronic Health Record (EHR) Incentive Program State Level Registration for Eligible Professionals (EP) 2014 - All Program Years Medicaid Electronic Health Record (EHR) Incentive Program February 2014 (Version 3.2) 1 Table of Contents First Year Providers...

More information

How to Register for an Event Using Cheer America s New Online Registration System

How to Register for an Event Using Cheer America s New Online Registration System Step 1: Go to our website (www.cachampionships.com). Click on the Registration Button. Step 2: On the Registration Page, click on the blue button Click HERE to REGISTER. Step 3: Welcome to our Registration

More information

Eligible Professionals User Guide for the Georgia Medicaid EHR Incentive Program

Eligible Professionals User Guide for the Georgia Medicaid EHR Incentive Program Introduction Eligible Professionals User Guide for the Georgia Medicaid EHR Incentive Program Version 1.0 September 5, 2011 1 Introduction Table of Contents Introduction... 3 How to apply for the Georgia

More information

Provider Express Obtaining Login Access. Information for Network Providers

Provider Express Obtaining Login Access. Information for Network Providers Provider Express Obtaining Login Access Information for Network Providers November 2013 Objectives This presentation will review the following features: How to Log in to Provider Express Retrieve a forgotten

More information

Preview of the Attestation System for the Medicare Electronic Health Record (EHR) Incentive Program

Preview of the Attestation System for the Medicare Electronic Health Record (EHR) Incentive Program Preview of the Attestation System for the Medicare Electronic Health Record (EHR) Incentive Program The Medicare EHR Incentive Program provides incentive payments to eligible professionals, eligible hospitals

More information

Emdeon ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account

Emdeon ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account PAYER ID: SUBMITTER ID: Emdeon ERA Provider Information Form *This form is to ensure accuracy in updating the appropriate account 1 Provider Organization Practice/ Facility Name Provider Name Tax ID Client

More information

North Carolina Medicaid Electronic Health Record Incentive Program

North Carolina Medicaid Electronic Health Record Incentive Program North Carolina Medicaid Electronic Health Record Incentive Program Eligible Professional Adopt, Implement, Upgrade Attestation Guide NC-MIPS 2.0 Issue 1.03 August 18, 2012 The North Carolina Medicaid Program

More information

!"#$ Stonington Public Schools Parents Guide for InfoSnap Online Enrollment. for Returning. Students. August. Online Enrollment.

!#$ Stonington Public Schools Parents Guide for InfoSnap Online Enrollment. for Returning. Students. August. Online Enrollment. Stonington Public Schools Parents Guide for InfoSnap Online Enrollment for Returning Students August!"#$ Explains how to complete Returning Student Enrollment forms Online through the PowerSchool Parent

More information

Partner Portal User Procedures

Partner Portal User Procedures Partner Portal User Procedures The help topics below are included in this document: Overview Self-Registration (First Time Users) Enrolling in an Application Accessing an Application (Once Enrolled) Signing

More information

Applicant Instructions

Applicant Instructions KSDE Online Application Instructions Step 1 Register for a Login Applicant Instructions Before you can submit your application, you must request a user name and password. To register, do the following:

More information

NY Medicaid EHR Incentive Program. Eligible Professionals Program Eligibility and AIU Webinar www.emedny.org/meipass

NY Medicaid EHR Incentive Program. Eligible Professionals Program Eligibility and AIU Webinar www.emedny.org/meipass Eligible Professionals Program Eligibility and AIU Webinar www.emedny.org/meipass May 2015 2 Program Eligibility and AIU Overview of EHR Eligibility and Medicaid Patient Volume Adopt / Implement / Upgrade

More information

GETTING STARTED WITH EDISS AND TOTAL ONBOARDING (TOB)

GETTING STARTED WITH EDISS AND TOTAL ONBOARDING (TOB) GETTING STARTED WITH EDISS AND TOTAL ONBOARDING (TOB) Table of Contents What is an electronic transaction?...2 What forms will be required for EDISS registration now that TOB is effective for most lines

More information

GMS Applicant Procedures Applicant - OJP Grants Management System Welcome Page (AP-1)

GMS Applicant Procedures Applicant - OJP Grants Management System Welcome Page (AP-1) Applicant - OJP Grants Management System Welcome Page (AP-) Welcome to the Applicant Procedures (AP) for the OJP Grants Management System. These Job Aids will guide you through the procedures for using

More information

ACT State Testing Online Services Tutorial

ACT State Testing Online Services Tutorial ACT State Testing Online Services Tutorial Back-up Test Supervisor Version Released July, 2009 2009 by ACT, Inc., All rights reserved. Back-up Test Supervisor Online Profile Form Introduction The Back-up

More information

You can submit your Lead Training Provider Application by following these steps: 1. Navigate to the CDX Website at: https://cdx.epa.

You can submit your Lead Training Provider Application by following these steps: 1. Navigate to the CDX Website at: https://cdx.epa. You can submit your Lead Training Provider Application by following these steps: 1. Navigate to the CDX Website at: https://cdx.epa.gov/ 2. If you do not have a CDX account complete the following steps:

More information

Currently Enrolled Providers NCTracks Step by Step Registration

Currently Enrolled Providers NCTracks Step by Step Registration Currently Enrolled Providers NCTracks Step by Step Registration Important Note: In order to have access to the NCTracks Provider portal, each provider (NPI) must complete the NCTracks Registration. This

More information

EXPRESSPATH PROVIDER PORTAL USER GUIDE AUGUST 2013

EXPRESSPATH PROVIDER PORTAL USER GUIDE AUGUST 2013 EXPRESSPATH PROVIDER PORTAL USER GUIDE AUGUST 2013 2013-2020 Express Scripts, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic

More information

State Level Registration for Medicaid EHR Incentive Program. - Professionals -

State Level Registration for Medicaid EHR Incentive Program. - Professionals - State Level Registration for Medicaid EHR Incentive Program - Professionals - Version 1.2 5/24/11 Page 1 of 19 Providers must register with the CMS registration and attestation system at the federal level

More information

SMALL BUSINESS HEALTH OPTIONS PROGRAM. Marketplace AGENT/BROKER ENROLLMENT USER GUIDE

SMALL BUSINESS HEALTH OPTIONS PROGRAM. Marketplace AGENT/BROKER ENROLLMENT USER GUIDE SMALL BUSINESS HEALTH OPTIONS PROGRAM Marketplace AGENT/BROKER ENROLLMENT USER GUIDE Table of Contents 1. Helping employers enroll in the SHOP Marketplace...3 Create a profile on HealthCare.gov...3 Adding

More information

Student Registration Online Classes

Student Registration Online Classes Student Registration Online Classes Purpose: This document walks returning or accepted students through the process of registering for online classes at Moody Bible Institute. Contents 1 The mymoody Portal

More information

I Expense Online Expense Approvals

I Expense Online Expense Approvals I Expense Online Expense Approvals Page 1 Contents Approving Expense Reports... 3 Viewing Expense Reports Receipts... 7 Alternative Actions... 9 Page 2 Approving Expense Reports Approving Expense Reports

More information

Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 2

Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 2 Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System Provider User Guide Version 2 December 2012 Table of Contents Table of Figures... 3 Introduction... 4 Getting

More information

Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 3

Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System. Provider User Guide. Version 3 Maryland Electronic Health Records (EHR) Incentive Program Registration and Attestation System Provider User Guide Version 3 January 2014 Table of Contents Table of Figures... 3 Introduction... 4 Getting

More information

Online Check Stub Enrollment. from Dominion Payroll Services

Online Check Stub Enrollment. from Dominion Payroll Services Online Check Stub Enrollment from Dominion Payroll Services How to Create an Account In order to access the Employee Self-Service portal, you will need to go through a one-time process that allows you

More information

ONLINE ADMISSION GUIDELINE FOR GOVERNMENT COLLEGE OF EDUCATION BANIPUR

ONLINE ADMISSION GUIDELINE FOR GOVERNMENT COLLEGE OF EDUCATION BANIPUR ONLINE ADMISSION GUIDELINE FOR GOVERNMENT COLLEGE OF EDUCATION BANIPUR Before Filling in Online Application Form, the Applicant is required to do the Following Tasks: 1. In the left side of the main college

More information