Utilizing Medicare Payment Tools This form is one of the most helpful tools in the KMC University Library. When Medicare is a secondary payer, it can be confusing to know what fee schedule to use, how much coinsurance to charge, or whether other insurance may pay for items excluded by Medicare. As you’ll see in…
FDR Guidance
First Tier, Downstream and Related Entities (FDR) Guide Aetna’s in-depth guide to the FDR Medicare Compliance Program is an excellent resource for new employees and for seasoned employees who must deal with an unusual or new situation with one of your Medicare patients. It addresses the attestation requirements for the program in detail and explains…
Verify QMB Prior to Charge Entry
Defining QMB The QMB (Qualified Medicare Beneficiary) program is a State Medicaid benefit that guides low-income Medicare beneficiaries through Medicare Part A and Part B premiums and cost-sharing. This includes deductibles, coinsurance, and copays. You will likely have QMB patients seeking treatment in your clinic given the fact that in 2017, 7.7 million people (more…
What is QMB?
This tutorial discusses an important compliance related topic that impacts all clinics that accept and treat Medicare beneficiaries. Sadly, in most clinics, the requirements surrounding a Qualified Medicare Beneficiary (QMB) is often ignored resulting in serious violations of Medicare regulations.
Medicare Reference Documents-Signature Guidelines
Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to the rules of properly signing the medical record notes of patients. These tools relate to the elements of signatures, authentication, and attestation, should that be necessary. We’ve also…
Signature Verification Form
Download Support Tool Mistakes happen. Unintentional errors that include unsigned notes or notes that are not signed in a timely fashion are inevitable in a busy office. Because signatures are a requirement, once the error is found, it’s critical to correct it, learn from it, re-train, and check again. A Signature Log is a very…