4 ways enrollment changes will impact you

Why This Topic Matters

Enrollment timing can affect when billing privileges begin and how far back services may be billed. Understanding CMS’s interpretation helps practices avoid billing gaps and administrative errors when enrolling, reopening, or reactivating providers.

Article Sections

1. Policy update overview

   Introduces the Medicare enrollment policy change and the general subject of effective dates and retrospective billing.

2. CMS examples of how the rule is applied

   Presents four scenarios illustrating how CMS applies the updated enrollment policy in different timing situations involving practice openings, application filing, and billing privilege changes.