Good morning Rick,
It is my understanding that the grace period is only allowed for group's that already have an imaging facility enrolled with Medicare. If you are enrolling a completely new facility this may not apply. I've attached a Medicare Provisional Policy that should address your questions.
I hope this helps.
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Cindy Pittmon RCC, CHBME, FRBMA
Founder, President, CEO
Acclaim Radiology Management
Longview TX
(903) 663-4800
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Original Message:
Sent: 06-02-2021 13:28
From: Rick Gladish
Subject: Medicare and Accreditation
We are under JH – Novitas Solutions.
We have a client that just installed a new MRI but to be accredited by the ACR they have to scan patients.
The MRI rep told the client that Medicare allows a grace period while the facility gets the accreditation.
Our MRI claims are denied as Provider not certified for this service and when we call Medicare the customer service reps says the provider is not enrolled or linked to the group and says it is an enrollment issue.
Can anyone provide some additional information or who to contact?
RESPECTFULLY,
Rick D Gladish, RCC, CPC
MD Revenue Management, LLC
111 Troy St STE F
Tupelo, MS 38804
ph 662-620-7102 fax 662-620-7106
email: rick@mdrm.us
website: www.mdrm.us
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