Medical Billing Forum

Billing => Billing => : billinggirl January 05, 2012, 02:19:43 PM

: Brand New Diagnostic Testing Center Opening UP
: billinggirl January 05, 2012, 02:19:43 PM

I received a call from a client that is opening a Diagnostic Testing center.   He will be billing Medicare Claims.  He applied for his provider Id#.

He was told by another billing company that Medicare will put him on an 180 day probation where his billing will be reviewed because he is a new provider.   Is this true?   I have never heard fo such a thing.  They also want to know how long it takes for Medicare to process his application.   

Need help with this one, i have no idea about this 180 day probation rule, if in fact it is true.......

Thanks

: Re: Brand New Diagnostic Testing Center Opening UP
: PMRNC January 05, 2012, 07:54:23 PM

Well, I've never heard of them actually saying there is a 180 day hold but I do know that right now with HIPAA 5010 transactions new enrollments are experiencing a delay.

: Re: Brand New Diagnostic Testing Center Opening UP
: Michele January 06, 2012, 08:20:59 AM

It also depends on the state he is in since the carriers vary by state.  Some are quicker than others.

: Re: Brand New Diagnostic Testing Center Opening UP
: PMRNC January 06, 2012, 09:27:45 AM

Right, and because of version 5010, many have announced months ago there wouldn't be any new enrollments processed due to this.

: Re: Brand New Diagnostic Testing Center Opening UP
: billinggirl January 06, 2012, 10:50:41 AM

oh ok, thank you ladies for the help.