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New physician / retroactive

  1. #1
    Default New physician / retroactive
    Medical Coding Books
    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
    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
    North Carolina
    The new regulations allow retroactive billing for only 30 days prior to the billing effective date....

  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
    Thank you very much!!!

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