Lisa,
We had a similar issue with one of our physicians. Fortunately, we just learned that the claims in the period in question were paid retroactively following reestablishment of his PECOS status.
We also found it impossible to get a clear answer from CMS ahead of those claim determinations. I hope your experience matches ours.
Scott Freeman, MD, HMDC, FAAHPM
Medical Director
Northwell Hospice
Assistant Professor of Medicine
Zucker School of Medicine at Hofstra/Northwell
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