Wiki Medicare enrollment time frame

coder1

Guru
Messages
160
Location
MIAMI
Best answers
0
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
 
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/MLNMattersArticles/downloads/MM6310.pdf

Also...

Start on page 43-

https://www.cms.gov/transmittals/downloads/R289PI.pdf
 
Last edited:
Top