tci Medicare Compliance & Reimbursement - 2010 Issue 16

Medicare Part C: Make Sure You're on the Same Page With Medicare Advantage Plans

Take heed: Some plans may require frequent recertifications for skilled care. Failing to nail down the right information when admitting a patient who may be on a Medicare Advantage plan can put your facility at a major disadvantage payment-wise.Golden rule: Always "do an insurance verification before admission because problems can creep up with Medicare Advantage (MA) plans," warns Atlanta consultant Darlene Greenhill. "And if you don't take care of them in time, you might admit the person and find out you have all kinds of billing issues."Examples: "Sometimes a family member thinks the beneficiary has traditional...

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