FAQ-Medicare Collections

Medicare Collections FAQs Q: Can we offer Medicare patients our time-of-service discounted fees? A: A reasonable time-of-service discount on services that are patient responsibility doesn’t violate any regulation depending on the amount of the discount, how your policy reads, and other factors. For example, that would include statutorily non-covered services and maintenance care for which...
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FAQ-Excluded Services in Medicare

Excluded Services in Medicare FAQs Q: According to Medicare, what is considered a statutorily excluded service when rendered by a Doctor of Chiropractic? A: A statutorily excluded service is a service the Medicare never covers when it is rendered by a Doctor of Chiropractic. This includes exams, x-rays, and physical therapy. The only service always...
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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.
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Medicare Verification Basics

It’s important to understand the difference between true verification and an eligibility check. There are so many layers to understanding the coverage a Medicare patient has that you must follow each step methodically. Whether the patient has Medicare Part B or Medicare Part C is the first critical bit of information you must be aware...
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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...
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QMB Compliance

Types of QMBs The Medicare Savings Programs (MSPs) was developed to assist low-income Medicare beneficiaries. Individuals who qualify for this assistance are often referred to as Dual Eligibles. All dual-eligible beneficiaries qualify for full Medicare benefits, but the extent or level of benefits for which they are eligible under Medicaid can vary. This is often...
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