Determining your Medicare Fee Schedule When providers initially enroll with Medicare, their level of participation with Medicare is determined. You have the option to change this status during open enrollment periods each year or during your revalidation process. It is imperative that the provider and staff know and understand how the level of participation determines…

Download Reference Documents FDR Medicare Compliance Medicare vs. Medicare Advantage First-Tier, Downstream, and Related Entities (FDR) Medicare Compliance Program Guide Medicare Fraud & Abuse: Prevent, Detect Report

Avoid Unwanted Takebacks and Medicare Penalties To avoid unwanted takebacks and Medicare penalties, it is necessary to review the clinic’s process for handling patients with Medicare Part C coverage. We have outlined some of the steps below for consideration. Identify your Medicare participation status Providers’ level of participation with Medicare is determined when they initially…

This quick tutorial provides a summary of important steps each clinic should take to avoid the pitfalls of treating and billing Medicare Part C patients. Ready your pen and paper to take note of steps the clinic should take to be compliant.