Medicare billing is very closely scrutinized so it’s important to get it right the first time. Remember, it’s not your decision whether to bill Medicare regardless of whether you’re participating or non-participating…that decision rests with the patient. This course walks you through the importance of using the right fee schedule, billing the right party, and…
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Know the Rules Once you obtain a copy of the patient’s Medicare Advantage card there are two things you need to give attention to when verifying coverage: Is the Medicare Advantage (MA) Plan a Private Fee for Service (PFFS) plan? Usually listed on the front of the card. If not, ask when you verify. Are…
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Medicare Advantage Plans FAQs Q: What is a Medicare Advantage Plan? A: According to www.Medicare.gov, a Medicare Advantage Plan (like an HMO or PPO) is a Medicare health plan that qualified beneficiaries may choose as part of their Medicare packages. These plans are very similar to traditional Health Management Organizations (HMOs), Preferred Provider Organizations (PPOs)…
Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials.
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