Outpatient Facility Coding Alert - 2009 Issue 5
ENROLLMENT: Quell Confusion About CMS' 30-Day Retrospective Billing Rule
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Article Overview
This article addresses a Medicare clarification about enrollment-related billing timing and the rollout of a retrospective billing provision tied to the 2009 physician fee schedule. It is relevant to physician practices, billing staff, and coders who need to understand the general scope of the policy change, its effective date, and the reported phase-in of enforcement guidance from CMS.
Why This Topic Matters
Changes to Medicare enrollment and billing timing can affect when services may be billed and how practices respond to contractor guidance. The article helps readers understand the policy’s effective date and the fact that CMS planned to phase in enforcement and contractor instructions.
What You Will Learn
- What Medicare clarification was issued about enrollment-related billing timing
- How the article frames the effective date of the 2009 physician fee schedule enrollment provisions
- What CMS reportedly said about contractor instructions and enforcement timing
- Why different contractors may have appeared to give differing responses during the transition
Who Should Read This
- Physician practices
- Medical billing staff
- Coding professionals
- Practice managers
- Medicare enrollment staff
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