Results 1 to 6 of 6

New physician / retroactive

  1. #1
    Default New physician / retroactive
    Exam Training Packages
    We have a physician that is going to start seeing patients this week but we have not heard back on his provider application. Will Medicare go retroactive to the requested date that was put on the application?

  2. #2
    Default Medicare retro
    Yes; Call the provider relations department at Medicare for detailed information.

  3. #3
    Default
    Once they approve him/her, the effective date will go back to the date that this person first started seeing patients. I would hold all billing until he is active in order to save processing errors. This is only for Medicare. Commercial insurances do not allow this.
    Walker Bachman, CPC, CPPM

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    The new regulations allow retroactive billing for only 30 days prior to the billing effective date....

    http://www.cms.hhs.gov/MLNMattersArt...ads/MM6310.pdf

  5. #5
    Default Illinois RETRO Auths
    In Illinois Medicare will on go back 30 days from the date the application hits the Provider Enrollment desk.

  6. #6
    Default
    Thank you very much!!!

Similar Threads

  1. Retroactive claim review questions
    By Rindahlnicole in forum Payer/Health Plan
    Replies: 2
    Last Post: 12-05-2014, 12:46 PM
  2. Retroactive Provider Enrollment
    By Cher91600 in forum General Discussion
    Replies: 2
    Last Post: 02-14-2014, 09:34 PM
  3. Retroactive insurance billing
    By seanny in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-23-2013, 09:57 AM
  4. Retroactive insurance filing
    By seanny in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-16-2013, 10:48 AM
  5. Medicare Retroactive Nuc Reimbursement Adjustments
    By Belinda Frisch in forum Cardiology
    Replies: 4
    Last Post: 09-23-2010, 11:33 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.