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CMS Changes Mind - Billing NOT Retroactive for Voluntary Termination

Posted 01-06-2010 at 02:37 PM by AndreaStark
Updated 01-06-2010 at 02:55 PM by AndreaStark

DME suppliers who did not meet surety bond or accreditation deadlines were advised to voluntarily terminate their billing numbers to prevent being suspended from the Medicare program for a period of one year. Those suppliers who submitted a voluntary termination request did so with the understanding that billing privileges would be reinstated once they met all Medicare billing requirements and billing would be retroactive to the date of accreditation.

However, CMS recently threw a serious monkey wrench into the mix when they stated that suppliers would NOT in fact be able to bill retroactive to their date of accreditation, as previously thought. Instead, suppliers must now wait until their CMS-855S applications have been processed by the NSC to begin billing Medicare and will only be able to bill for services performed on or after the date their number is reactivated.

Several organizations, including AAHomecare, MAMES and the NSCAC are working towards a reversal of this policy. You can count on MiraVista to keep you posted on any changes.

MiraVista, LLC
PO Box 11544
Columbia, SC 29211
Phone: 803.462.9959 ext.252
Fax: 803.758.2450
Mira Vista

For outsourced DME billing, try ClaraVista, LLC.
Mira Vista
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