tci Medicare Compliance & Reimbursement - 2009 Issue 2

Credentialing: CMS Clarifies New 30-Day Retrospective Billing Rule

Count 30 days back from application date, CMS says. CMS has cut its retrospective billing rule from 27 months to 30 days, but the new rule may not be so bad. According to the 2009 Medicare Physician Fee Schedule, you'll be able to retroactively bill Medicare for services your physician rendered up to 30 days prior to the date of filing a Medicare enrollment application that a Medicare contractor subsequently approves. You have 30 days from the day you submitted the enrollment application to the Medicare carrier and the carrier receives your signed certification via mail, if you're filing...

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