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Wiki Medicare Contract 855R

dcullop

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We are a new physician group and is applying for Medicare 855R. Contract has not been sent in but we will start seeing patients on June 1st. Probably won't have contract finalized before then. Can we hold all of our claims for Medicare and bill later after contract is final. And if so how long can we hold them?
 
Yes

We are a new physician group and is applying for Medicare 855R. Contract has not been sent in but we will start seeing patients on June 1st. Probably won't have contract finalized before then. Can we hold all of our claims for Medicare and bill later after contract is final. And if so how long can we hold them?

Yes you can hold those claims, but Medicare may not retro the start date on the date you saw your first patient. You can file the claims according to Medicare Timely Filing which is 365 days from the date of service.
Hope this helps.:cool:
Carla Townsend, CPC, CPPM, CPB, CH-CBS
FQHC Revenue Cycle Manager
 
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