A Dcotor bills medicare for an HP he performs but dates it the day before when the er called him but he did not see the patient and also bills for the visit that day?
That is called double billing, and it is Medicare fraud. It is against the law for any medical provider to bill for something with the wrong date of service, and especially to bill the same charge twice when it was only performed once. There is a VERY LARGE penalty for Medicare fraud. A call needs to be made to the local Medicare or Social Security office.
Whether Medicare will pay for nursing home care is not a matter of how much money the patient needs. In general, Medicare does not pay for long term, "custodial" care, which is the reason for most nursing home admissions. Medicare will pay for nursing home care for rehabilitation; in such a case, the medical record must show that the patient is progressing.
What are three items that medicare beneficiaries are responsible for paying before medicare will begin to pay for services?
A surgeon has a wide range of duties to examining the patient to performing the actual surgery. Before the patient applies for surgery the surgeon must examine the patient to see if he/she really does need surgery. Before the surgery takes place they must conduct a number of test on the patient like blood test and confirming that the DNA samples are correct. The surgeon's duties varies with their specification. Performs comprehensive and problem-focused histories…
Should hospital advise you a service may not be covered Is there a form for a patient to sign accepting or rejecting a non covered item?
yes: this is called an ABN, or advance beneficiary notice. If you receive this notice, the hospital is telling you that they don't believe you will meet Medicare criteria for a procedure. If you sign it, they will still submit the bill to Medicare, but you will be responsible for paying it if Medicare refuses. The best thing to do may be to ask for them to get a predetermination from Medicare: then you will…