Medicare Advantage Deemed Provider

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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Billing Medicare Advantage

Important Facts about MA Plans Although a Medicare Advantage (MA) plan is technically a form of Medicare coverage, it is best to view these plans similarly to your contracted commercial payers. Advantage Plans often follow the same billing rules as regular commercial carriers. If you are a contracted provider for the plan the patient belongs...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.