tci Medicare Compliance & Reimbursement - 2004 Issue 40

PHYSICIANS: Will CMS Pay Interest On Claims Delayed By PECOS?

Stay tuned for more enrollment bottlenecks in 2005.With providers waiting months before they can bill for services they're providing to Medicare patients, will Medicare pay interest when it finally pays those claims?Probably not, officials from the Centers for Medicare & Medicaid Services told the Aug. 30 Practicing Physicians Advisory Council meeting.The law requires CMS to pay interest on "clean claims" if the provider receives payment more than 30 days after billing. But if a provider bills late for whatever reason, even enrollment glitches, CMS owes no interest. "We just don't have the authority to do that...

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