I got a call this evening from an NP friend of mine who opened her practice in November 2006. She’s been dealing with doing electronic billing with Medicare. She tells me that after months of working with them, doing test runs, etc…they were all ready to do. Now mind you, these test runs were done with Medicare…everyone said it’s a go.
So they upload billing going back SEVEN months. And guess what? Medicare kicked them all back and said she could not bill.
Apparently, in her prior job, they opted out of Medicare. Guess what? That opt out form is apparently good for two years. It follows you where-ever you go. Medicare is now telling her she cannot bill for ANY visits until after July 1, 2007. It is possible this is correct?
I gave her the number for the local regional office where hopefully she can talk with someone who has a bit more knowledge than those answering the call center phones. Any other ideas?