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Medicare Re-enrollment and Billing Older Claims

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Scott:
Hi.  I have a new client who's prior biller failed to submit even 1 Medicare claim in a very long time - so long that Medicare recently dropped the provider.  I have two questions:

1) Should I be aware of any issues that Medicare will have in this situation?  I.e., will the provider have any problems reactivating?

2) Will Medicare allow me to rebill those older services that were technically rendered while he was still enrolled?  Or is he just out of luck?

Thanks so much for your help.

kristin:
1. I don't think the provider will have any problems reactivating, but I am not positive...have never dealt with that before.

2. Medicare has a 365 day timely filing limit, and they do not budge on it. Anything over 365 days is a loss.

Michele:
It depends on how much time has passed since they deactivated.  If you can reactivate then you can back bill until the number was deactivated howeve, as Kristin said, they won't go back over 365 days.

PMRNC:
If Medicare deactivated I'm thinking claims are WAY past timely filing. 

kristin:
That is exactly what I was thinking...and also wondering why the biller didn't bill the claims, and the provider didn't notice. It had to have been going on for more than a year.

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