tci Part B Insider - 2009 Issue 2

PART B CREDENTIALING: CMS Clarifies New 30-Day Retrospective Billing Rule

Count 30 days back from application date, CMS CMS has cut its retrospective billing rule from 27 months to 30 days, but the new rule may not kick you in the wallet as badly as previously expected. As we reported in the Insider Vol. 9, No. 44, 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. Although most experts previously took this to mean that you could only...

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