FAQs: Can I Charge My Patient for Non-Covered Services?

Library members, visit the Helpdesk FAQ on your dashboard to watch a short but helpful video from KMC on this topic. Additionally, Library members can also find an extensive number of resources to guide them through proper billing for non-covered services. See the links below when you’re logged into your member dashboard.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Video: Wait! You May Not Be Able to Charge Your Patient for That!

Our Helpdesk has received an increase in calls about when an office can charge a patient for a non-covered service, or one that is bundled into a “per visit” or capitated plan.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

VA Update!

Providers who render services to veterans within the Patient Centered Community Care (PC3) network can resolve referral and claim issues until September 30, 2022.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Regulations and Risk Management Associated Maintenance Care

New regulations such as the 2022 No Surprises Act may place providers in the hot seat if they do not notify patients properly when care is no longer considered a covered service.

Our members enjoy one hour of continuing education credit (in participating states) per quarter, and we foot the bill! Unfortunately, it's not included in your level of membership, but we'd be happy to provide you with more information on how you, too, can enjoy this and many other benefits in our Library or 1-on-1 training program. Click here to learn more.

New Credentialing Process for VA Providers

On April 1, 2022, the VA will utilize a new Credentials Verification Organization (CVO) to credential non-Community Care Network (CCN) providers. If you are a CCN provider, you may not need to do anything.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Medicare Cuts Are Back On!

Due to the pandemic, the Protecting Medicare and American Farmers from Sequester Cuts Act was placed on hold. This has been lifted as of April 1st and will result in a 1% payment reduction effective April 1, 2022 to June 30, 2022 on Medicare Fee For Service claims.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.