Medicare

Can a Medicare Advantage Plan patient submit my claims for out of network benefits if I’m not enrolled as a Medicare Provider?

FAQs, Medicare /

Answer: No. Medicare Advantage Plans (MAP) are not supposed to reimburse patients for services by unenrolled providers even if the MAP offers out of network. That said, MAPs sometimes erroneously reimburse patients. If your patient submits a claim and is reimbursed, that doesn’t necessarily mean it is ok. Medicare patients should always go to Medicare […]

Can a Medicare Advantage Plan patient submit my claims for out of network benefits if I’m not enrolled as a Medicare Provider? Read More »

Client Alert for Cash Practices RE: CMS 1490S form

Cash Practice, Client Alerts_All States, Client Alerts_Maine, Medicare /

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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Will working somewhere that requires me to enroll with Medicare cause issues for my cash practice?

Cash Practice, FAQs, Medicare /

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

Will working somewhere that requires me to enroll with Medicare cause issues for my cash practice? Read More »

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