Medicare Payment, Reimbursement, CPT code, ICD, Denial Guidelines

Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.

Medicare Guideline posts

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Showing posts with label Billing patient. Show all posts

Q: When is it acceptable to collect the deductible from the beneficiary?

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This is the most sighted question from provider. A: When assignment is accepted, Medicare Part B recommends: • Since it is difficult to...

Billing Medicare - Medicaid patient . Explanation of different Medicaid plan and its coverage

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Dual Eligible Beneficiaries Dual eligible beneficiaries include individuals who receive full Medicaid benefits as well as those who only r...

Can we bill patient when Medicare claim denied as timely filing?

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Medicare document says yes but only limited to Deductible and coins. Determination of Untimely Filing and Resulting Actions Medicare d...

Can we submit the claim if patient has provided the backdated card , what is the time limit for secondary claims

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Backdated Medicaid Cards If a member receives a backdated medical card and the provider wishes to accept it and bill Medicaid for service...

What happen to the claims if accept assignment is not marked in participating provider claims?

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Processing Claims for Services of Participating Physicians or Suppliers by Carriers The participating physician or supplier submits any c...

How much amount can physician collect from patient before the service rendered?

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Physician’s Right to Collect From Enrollee on Assigned Claim Submitted to Carriers Before the Claim is Submitted The provider (includi...

Can provider collect Medicare deductible upfront?

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Yes, we could collect the payment but it has to be refunded promptly if you are collecting excess payment or collected incorrectly. See the ...

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What are the cases can medicare provider bill the patients?

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Provider Charges to Beneficiaries In the agreement/attestation statement signed by a provider, it agrees not to charge Medicare benefici...

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