Billing > Billing

Reporting your Billing Company to Medicare

(1/2) > >>

Christy:
Upon submitting claims for a new client to Medicare- what type of notification do I have to give to Medicare? Will there be a delay in claims pmts?

what if I use their current software/clearinghouse? Does it matter who presses "go" to send the claims to Medicare?

thanks!

PMRNC:
Whenever a provider adds, or changes a billing agent (you) they need to notify Medicare via form 855 or PECOS.   Here's link, it will depend on what type of practice they are. http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/EnrollmentApplications.html  You will need to do this even if you use their submitter ID's via their clearinghouse or your own, you still become the "billing agent".   You also will still want to do your own HIPAA business Associates Agreement as well.

nanap:
Does this need to be done for an outpatient mental health co.

PMRNC:
Any provider that bills Medicare and uses an outside billing company needs to inform Medicare of the change in billing agent.

Christy:
I have now read that a billing company (at least in NY) has to be registered with Mediciad to submit claims to them? has anyone else heard this?

Navigation

[0] Message Index

[#] Next page