Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…
Medicare Part C- The Advantage Plans
Medicare benefits are administered directly by the government, whereas Medicare Advantage (MA) plans are managed by commercial or private plans. When navigating the world of Medicare Advantage plans it is vital that your front desk, billing and treating doctors have a solid understanding of the many aspects of regulatory compliance that surrounds these plans. In…
What is Medicare Advantage?
The Part C of Medicare According to www.Medicare.gov, a Medicare Advantage (MA) Plan (like an HMO or PPO) is a Medicare health plan that qualified beneficiaries may choose as part of their Medicare package. These plans are very similar to traditional Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Private Fee for Service (PFFS)…
Medicare Replacement Plans
Download Infographic 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. Medicare Replacement Plans Note: If the provider is not enrolled in the patient’s Part C plan, the provider may feel they…
Qualified Medicare Beneficiaries (QMB) Reference Documents
Download Reference Documents This page contains helpful tools that provide a deeper dive into the topic of Qualified Medicare Beneficiaries. Here we list timely tools to review, download, and save in your Medicare training documents Cost-Sharing for Medicare Advantage Plans List and Definition of Dual Eligibles Dually Eligible Beneficiaries Under Medicare and Medicaid Prohibition Billing…