Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Billing for Medicare

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ramsey825:
One more question.  If the physician is already enrolled in medicare, why would you need to submit another application in order to change billing companies?

Michele:
You are supposed to notify Medicare of all changes, including billing services.  Most people don't do that, but it is what you are supposed to do.  But it doesn't have to be done before billing can begin.  The only paperwork that must be done to bill is EDI, and that is not involved.  NY only takes about 5-7 days.

jcbilling:
The EDI paperwork is to change clearinghouses - here in TN, it took about 4 weeks for Medicare to process. The CMS 855B / I (depending on group or individual) is the form for notifying Medicare that the provider will be utilizing a billing company. I agree with Michele - you can submit claims and get paid while that application is being procesed.

HTH,
Charity

ramsey825:
Thanks for all of the info you guys have given me.  This helps me understand the process much better.  You have been very helpful!

Thanks again
Amy ;D

Brenda09:
Hello Everyone,

Want to make sure I have this right.
EDI is for the clearinghouse information, but the medical billing company must get added to the providers CMS 855I even if there is a clearinghouse?

Thank you to all of you on this forum for your help.
Brenda

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