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28 July, 2021 Category : Medicare

Posted By : Admin

CALIFORNIA MEDICARE AND BALANCE BILLING

First, what is Balance billing? When healthcare providers bill patients for charges that exceed the amount that Medicare reimburses for that service, or in other words, contractual write-offs. If the provider is participating in Medicare/ Medi-Cal balance billing, is illegal. Doctors that aren’t participating with Medicare, but they also haven’t opted out (non-participating) can balance bill you, but the total charge can’t be more than 15% than Medicare will pay. Providers that have ...
28 July, 2021 Category : Medicare

Posted By : Admin

CHIROPRACTORS! MEDICARE IS DENYING…

Medicare is now enforcing their protocol on secondary diagnosis codes and re-evaluation visits. Providers will need to make sure that they’re aware to schedule patients for their re-evaluations exams once they have met the diagnosis visit limit. Expect denials from Medicare if you are not following the guidelines within Short-Term, moderate, and long-term treatment codes. Please refer to the list of codes and how many visits coincide with that diagnosis to determine your
28 July, 2021 Category : Medicare

Posted By : Admin

WHAT IS A MEDICARE REPLACEMENT PLAN?

Medicare is now enforcing their protocol on secondary diagnosis codes and re-evaluation visits. Providers will need to make sure that they’re aware to schedule patients for their re-evaluations exams once they have met the diagnosis visit limit. Expect denials from Medicare if you are not following the guidelines within Short-Term, moderate, and long-term treatment codes. Please refer to the list of codes and how many visits coincide with that diagnosis to determine your