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 FDR Self-Assessment Tool 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.

Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. On this page, we list three important tools to review, download, and save in your Medicare training documents. To properly determine Medicaid liability for Part C (Medicare Advantage) cost sharing for a dual-eligible (QMB) it is necessary…