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National provider identifier

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Q: What is the number required by centers for medicare and medicaid on claims for clinical diagnosis services is called?
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If you qualify for medicaid will you get back money taken out of medicare before qualification?

You are not required to pay back Medicaid or Medicare.


What is the penalty for doctors that don't accept Medicare?

There is no penalty; providers are not required to accept Medicare or Medicaid.


Can a Medicare participating hospital refuse a needed surgery on a Medicare patient?

Providers are not required to take Medicare (or Medicaid) patients. Hospitals are required to provide emergency care regardless of ability to pay.


Are there private contracting providers who do not participate with medicare or medicaid payments?

Providers are not required to participate in either the Medicare or Medicaid program. In addition, providers are required to tell you when you present your Medicare or Medicaid cards that they do not accept the programs (generally this is on the paperwork where they ask for the insurance information). If they render treatment and you have presented your id cards prior to the visit (and they did not otherwise advise you or have you sign something that they don't participate) then contact Medicare at 1-800-Medicare to report the provider.


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If a doctor declares there is nothing more that hospital can do and refers you to an out of state hospital does the hospital have to accept out of state Medicaid that they wouldn't normally accept?

No. Medical providers are not required to accept Medicaid or Medicare patients.


Can a physician refuse to treat medicare patients that owe them money?

Providers are not required to take patients as Medicare or Medicaid patients. However, there might be an ethical issue if a provider stops ongoing treatment due to inability to pay.


Is it true that under the ObamaCare bill your primary physician must be the doctor admitting you to the hospital in order for Medicare to pay for it?

The PPACA does NOT apply to any Medicare program or insurance coverage. Medicare is NOT part of the PPACA. Medicare is the old-age social insurance program for those 65 and up. If you mean Medicaid (the health care coverage for poor people), the PPACA does not specify such details. Medicaid is administered by the states, with certain funding and general requirements coming from the Federal government. The details of required procedures to be followed for payment are up to individual states to decide upon. So, in that context, you will have to ask your state's Medicaid program about this issue.


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How many diagnosis code pointers can be assigned to a procedure code?

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Are Medicaid providers required to take payment from medicaid only for Medicaid patients?

i am a provider in Michigan, a have residents in the home who i am not receiving title 19 money monthly. Providers are not required to accept Medicaid patients. However, a provider who treats someone as a Medicaid patient is required to accept the amount Medicaid pays as payment in full and, except for co-pays, cannot bill the patient.


does medicare cover a PET scan CT scans done & were inconclusive .s Additional testing is required to obtain a diagnosis ?

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