K Posted Tue 17th of October, 2017 12:21:47 PM
We bill for the service of the CRNAs that work in our clinic. If we have a new CRNA that has started to work for us, and we are in the process of getting the enrollment approved with Medicare. How would we bill out the services that are being provided? Do we hold the claims until all the paperwork is approved then send out the claims to insurance companies? I believe she works on her own and does not have medical direction during the procedures. Would you handle it like a locum tenens? Thank you for your time.
Contracting and Credentialing Specialist
SuperCoder Answered Wed 18th of October, 2017 03:32:02 AM
Here is some useful information from Centers for Medicare and Medicaid Services.
In the 2009 Medicare Physician Fee Schedule, the Centers for Medicare and Medicaid Services announced new enrollment rules for physicians, non-physician practitioners and physician and nonphysician practitioner groups. Effective April 1, 2009, a provider that enrolls or re-enrolls with Medicare may only bill for services provided up to 30 days prior to the “effective date” of the application. The “effective date” of the application is the later of the date you filed a Medicare enrollment application that was subsequently approved by a Medicare carrier or the date you, as an enrolled provider, first begin providing services at a new practice location.
For more information, please find the below attached link.
Hope this helps.
Further query is welcome.