New Provider-Based Practice Location Type Options Now Available in PECOS!
The Centers for Medicare & Medicaid Services (CMS) has implemented critical updates in the Provider Enrollment, Chain, and Ownership System (PECOS), expanding how hospitals report provider-based practice locations.
Effective immediately, PECOS includes new “Provider-Based Department Site Type” options to better classify hospital-based service locations. This update is designed to improve compliance, accuracy, and alignment with CMS regulations.
New Location Types Include:
- Off-campus of the main provider (does not satisfy the definition of “campus” at 42 CFR 413.65(a)(2))
- On the “campus” of the main provider (as defined at 42 CFR 413.65(a)(2))
- Remote location of a hospital (as defined at 42 CFR 413.65(a)(2))
- Dedicated emergency department (ED) (as described at 42 CFR 489.24(b))
- Excepted off-campus (temporary or permanent) due to extraordinary circumstances (per 42 CFR 419.48(b))
- Mobile facility or portable unit (excepted off-campus per 42 CFR 419.48(b))
- Approved Mid-build
Important: CMS has automatically assigned a location type to existing hospital practice locations. However, Advis has identified inconsistencies in many of these assignments that could affect compliance and Medicare reimbursement.
We strongly recommend that all hospitals:
- Review their PECOS enrollment data
- Verify that all provider-based locations are correctly classified
- Make updates to avoid compliance risks or reimbursement delays
Don’t risk delays or compliance issues—contact Advis today for guidance and support in navigating these important PECOS updates.
Published July 18, 2025
