If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
So I have a provider. He was not credentialed with MCR (he now is, but not for those DOS), however he was seeing medicare patients. Therefore he was getting a non par denial. Is there any way to get these paid?
Just went through this at my site. According to my MAC, you can backbill 30 calendar days before the approval date on the provider's "PTAN letter." Anything before that is a write-off
I would do a batch appeal with the claims, the Medicare Remittance Reports showing the denial and with a letter to reconsider due to the credentialing issues...maybe contact your MAC provider relations and ask how they want to see this done.