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Medicare enrollment time frame

  1. #1
    Default Medicare enrollment time frame
    Medical Coding Books
    Good Morning Coding World,

    Could a provider see patient before and during enrollment to Medicare? If so, is there regulations on how far back medicare will reimburse.


    Thanks

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    The individuals and organizations identified above may, however, retrospectively bill for services when:

    The supplier has met all program requirements, including state licensure requirements, and

    The services were provided at the enrolled practice location for up to—

    30 days prior to their effective date if circumstances precluded enrollment in advance of providing services to Medicare beneficiaries

    https://www.cms.gov/MLNMattersArticl...ads/MM6310.pdf

    Also...

    Start on page 43-

    https://www.cms.gov/transmittals/downloads/R289PI.pdf
    Last edited by RebeccaWoodward*; 09-19-2011 at 02:41 PM.

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