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. Remember, these plans replace Part B Medicare, and in some cases, providers are not obligated to join Part C plans in...
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What is Medicare Advantage (Part C)?

MA Plans 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) plans. However, they...
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Different Types of Medicare Coverage

A Chiropractic Assistant should have a basic understanding of the different PARTS of Medicare. It is not just Part A and Part B. This quick tutorial will help you understand the C and D of Medicare. Refer to the image below to solidify your knowledge of the four parts of Medicare. *NOTE: In the tutorial,...
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Cash-Based Practice and Medicare

Seeing Medicare Patients as a Cash-Based Practice The essence of a cash-based practice is collecting most, if not all, payments across the front counter vs. waiting for payment from a third-party payer. Many providers find themselves on the wrong side of the rules by creating various permutations of this concept, sometimes without even knowing they...
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Medicare Advantage & FDR

First Tier, Downstream, or Related Entity FDR is a Centers for Medicare and Medicaid Services (CMS) acronym for First tier, Downstream, or Related entity. A First Tier Entity is any party that enters into a written arrangement (acceptable to CMS) with a Medicare Advantage (MA) organization to provide administrative or health care services to a...
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.

FAQs-Medicare Advantage Plans

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, 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.