Review of Medicare Fee Schedule for Participating Providers All participating providers must be enrolled with Medicare and must bill Medicare on behalf of the beneficiary for all covered services unless otherwise instructed by the beneficiary. Participating providers may choose to send their actual fee to Medicare or to use the Medicare allowed amount as their…
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We could all use a visual wake-up call detailing the pitfalls surrounding charges and fees when working with Medicare patients. It is important to be aware of the four inconsistencies in billing that the OIG watches for, the three categories of Medicare fees, and how you can help patients manage their financial responsibilities while staying…
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Participation Status Determines 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…
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Why spend valuable time searching for a Medicare Fee Schedule when the information is available right at your fingertips? Using the Novitas Solutions Medicare Part B website, Kathy walks you through a very simple routine for finding the appropriate fee schedule for your area in a matter of minutes. The site will help you locate…
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Download Reference Document Our friends at ChiroHealthUSA developed this excellent guide to speaking to patients about various fee-related circumstances in the office. Here you will find helpful scripting to assist you with the conversations necessary around finances. Download, review and save this helpful reference in your financial training materials. CHUSA Conversation Guide
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Patient ABN FAQs Medicare will only pay for covered services they consider to be reasonable and necessary (under section 1862 (a)(1) of the Medicare law). Although each doctor has the best interest of the patient in mind when determining a plan for his/her chiropractic care, Medicare will not pay for chiropractic care deemed “maintenance” according…
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