11/11/2022: This Client Alert_RE CMS 1490S form instructions & sample form_2022-11-11 provides new instructions on how patients can submit a claim to CMS on form 1490S just to get a denial so a secondary or supplemental payer will reimburse claims they cover. Follow these new instructions instead of the instructions in the 9/15/2022 webinar.
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Can a cash practice see a workers’ compensation patient? Maybe. State laws govern workers’ compensation. If your state laws allow the employee to choose their heath care providers, versus allowing the employer to direct what providers see their injured workers, then you should be able to see the patient. State work comp laws may
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Question: I need to work at another private practice to supplement my income while building my cash practice. The practice sees and bills Medicare under the practice’s NPI number. They will require me to enroll as a Medicare provider to treat their patients. Will this cause any issues for my cash practice? Will I have
Q: My patient has a Medicare Supplemental Insurance Plan. She wants to know if she can submit her claims to the supplemental insurance plan without submitting to Medicare first. Should I give her a statement to submit? A: Some supplemental plans may reimburse their insureds for medically necessary services provided by unenrolled providers without requiring
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Advice on Superbills When you agree to see a Medicare beneficiary who has elected to pay you cash instead of seeing a Medicare enrolled provider you are accepting some risk that the patient may try to submit your receipts to Medicare for reimbursement or to obtain a denial for a Medicare Supplemental Plan. If the patient
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