tci Medicare Compliance & Reimbursement - 2010 Issue 17

Reader Questions: Get the Scoop on Billing Before Credentialing

Question: Our practice has a new physician coming on board to replace a retiring doctor. When can I start billing for his services? Does it matter when he gets credentialed with the insurance companies? Answer: When you can bill for a new physician's services does depend on when you're able to get him credentialed. You'll also need to know the differences between the payers you'll be reporting the services to. Medicare: For Medicare, you're allowed to bill 30 days retroactively. Note that you'll count back 30 days from the physician's application date, not the Medicare approval date. So the...

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