Medicare Archives

Replacement Plans in Medicare

Original Medicare vs. Medicare Advantage To expand on your knowledge of Medicare Part C (Advantage) plans, also known as replacement plans, this resource calls out various facts to be aware of as you develop your Medicare education. Remember, these plans replace Part B Medicare, and providers are not obligated to join Part C plans in…

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Alternative Medicare Plans-Railroad and United Mine Workers

Other Medicare Plans Railroad retirees are excluded from traditional Medicare. By statute, Medicare Part A and Part B are part of the retiree’s benefits. United Mine Workers of America (UMWA) retirees are required to enroll with Medicare Part A and B but when it comes to filling for chiropractic related claims, you must file directly…

Secondary and Supplemental Medicare Coverage

Additional “Gap” Coverage Because traditional Medicare Part B coverage is 80% of the allowed charges, beneficiaries may purchase additional insurance to cover the “gap” or other 20%. Some of these payers also pay for services that Medicare never covers. Sometimes, the beneficiary has this coverage through retirement benefits, and other times they must purchase the…

Participating vs. Non-Participating Provider Status

Participating vs. Non-Participating Provider Status Participation status is a choice that providers make, and is a highly personal decision, but it should be noted that all the regulations associated with Medicare apply regardless of status. In this brief training, we expand on the basics of these participation types and the obligations associated with it. Refer…

Your Medicare Administrative Contractor’s Job

It’s important to recognize the role that the Part B Medicare Administrative Contractor, also known as a MAC, plays in your Medicare relationship. When dealing with Medicare Part B insured patients, the MAC is your “go-to” for many different activities related to providing services. This training outlines the many connections to the MAC that are…

Your Medicare Administrative Contractor (MAC)

Whether a provider of service or a team member working with Medicare billing or verification, you must know how to find your MAC and navigate their website. This short training helps you identify which Medicare jurisdiction your state is in and helps find the way to the tools and resources needed to interact with your…