tci Medicare Compliance & Reimbursement - 2017 Issue 22

Clip And Save: Know These Medicare Remittance Rules for Deductibles and Coinsurance

Tip: Review secondary payers' policies to avoid paybacks. Copay collection remains one of the last relatively painless parts of practice management. But billing deductibles and Medicare coinsurance is an entirely different story. CMS guidance is confusing, and each private payer as well as each Part B MAC handles billing differently. If your practice stumbles over Medicare's billing minutia, take a look at this overview to boost your profits. Nuts and bolts: It is fine and dandy to collect copays up-front, but you don't always have to wait to bill deductibles and coinsurance amounts until after you get the remittance...

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