tci Medicare Compliance & Reimbursement - 2008 Issue 29

Part B Claims: Non-Par Providers Must Submit Claims On Patient's Behalf

Those who opt out may not be subject to claim filing. So, you've decided to no longer participate in the Medicare program -- but chances are you'll still face your share of payer red tape. If your practice includes non-par providers or physicians who have opted out of Medicare, it's a good bet that your doctors will eventually treat a Medicare beneficiary. Sometimes this is due to a patient having an emergency and rushing to your office because it's nearby, or it may occur when a current patient ages into Medicare and forgets to tell you that her insurer...

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