tci Medicare Compliance & Reimbursement - 2019 Issue Q4

Billing: Know the Billing Facts on Treating Family Members

Hint: Medical ethics does factor into the situation. It’s fairly routine in most practices for providers to treat family members now and again, but one thing that may not be routine about these visits is how to bill for them. Although your sister’s annual wellness visit takes just as much time and effort as it would with any other patient, the billing can be quite different. So, before you send that claim to your Medicare Administrative Contractor (MAC), find out what the agency’s rules are in this category — they might just surprise you. First, Check...

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