Effective Date of Enrollment and Retrospective Billing Date
When a physical therapist, occupational therapist or speech-language pathologist in private practice enrolls in the Medicare program, how does the Centers for Medicare and Medicaid Services (CMS) determine the effective date of enrollment and what are the requirements for retrospective billing and how many days can you bill for services prior to the effective date of your enrollment? In this article, I will answer these questions.
Question
How is the effective date determined?
Answer
The content here is for members only log in here or sign up.
Question
What are the retrospective billing requirements and limitations?
Answer
The content here is for members only log in here or sign up.
Question
Can you give an example of the difference between Effective Date of Enrollment and Retrospective Billing Date?
Answer
The content here is for members only log in here or sign up.
I hope you found this article helpful and informative. Thank you for being a Gold Member!
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.
Check Our Past Webinars!
Leave a Reply
Your email address will not be published. Required fields are marked *This site uses Akismet to reduce spam. Learn how your comment data is processed.
I have a question regarding the transition from CF to CCC. I need to find out how we bill for services provided by a newly-licensed clinician (just received CCCs) who submitted a credentialing application ASAP but is waiting for the credentialing process to finalize? There seems to be some confusion in the industry as to if you can continue to bill under the supervisor while you wait for the credentialing applications to finalize?
Due to possible liability issues as well as my time to address your question, this would require we have a consulting contract in place and I would bill you for my time. If interested in a contract proposal for consultation services, please email me the name and address of your organization and the name and title of the person who would sign the contract and I will email you a contract proposal.
Ok, Thank you!!