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Why do you think a medical biller needs to know everything about how medicare works?
Brobea
A medical biller need to know everything about how Medicare works because if a procedure or office visit is not coded and submitted according to their rules, Medicare will not pay for it. Medicare is a little more strict than other insurance providers are, but a medical biller needs to be familiar with how every insurance provider which their facility accepts works.
Wiki User
∙ 9y ago
Wiki User
∙ 9y agoIt is important that a medical biller needs to know everything about how Medicare works in order for providers to be compensated for their services. Medicare is very specific about the reasons that it will pay for services provided, and if not submitted properly, the doctor or hospital will not get paid.
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Who qualifies for medicare part B immunosupressive drugs?
any one that needs its, medicare pays based on medical necessity
Is medical issues and diabetes special needs?
Yes, my uncle receives it through medicare. They are governmentally funded as well. So the standards will be the same.
Is private insurance coverage better than Medicare?
If you are eligible for Medicare, you may want to look into a Medicare Advantage Plan. This is a plan administered by a private insurance company who has a contract with Medicare. They must offer everything Medicare offers, but most Advantage plans offer above and beyond what Medicare allows. Each Advantage plan is different, it is definitely worth looking into if you feel you have needs that Medicare won't meet adequately.
Who offers the cheapest medicare insurance plans?
Medicare insurance depends on a persons individual medical needs, the cheapest plans however seem to be offered by HMO. One should read all information to ensure they get the correct coverage for them.
If you switch from HMO back to Medicare can the skilled nursing facility that the patient is at bill Medicare for skilled needs?
If they are under skilled HMO yes you can bill Medicare. You still have to follow the assessments needed by Medicare
Is ambulance service covered under medicare?
Yes. Medicare will cover emergency and non-emergency ambulance services if: It is medically necessary. Meaning that an ambulance is the only safe way to transport one and the reason for one's trip is to receive a service or to return from a service that one need and Medicare will cover;
What does the AARP Medical Supplemental insurance do?
AARP Medical Supplemental insurance is almost essential these days for people who rely solely upon Medicare for their health care needs. This supplemental insurance pays for the things that are ordinarily not paid for by Medicare and can really come to a large amount of a persons fixed income in their retirement. The insurance thereby can relieve stress upon seniors that they will not go bankrupt due to an illness.
Are you eligible for Medicare under age 62 if your husband retires?
More information would really be necessary. In general, Medicare does not cover a non-eligible spouse. Purchasing a private inurance policy would be advisable. If you have special medical needs due to a disability, or if you turn 62, you may become eligible to apply for social security and Medicare under your husbands earnings if you don't qualify yourself.
Does it cost anything if you have Medicare and Medicare?
If your referring to Medicare and Medicaid. It depends on what level of Medicaid you have and what type of service you are attempting to receive. In most circumstances the Medicare & Medicaid recipient will have some share of the cost of their medical care. Depending on how impoverished the individual is, their income, assets, and medical issues all can affect what level of Medicaid the person receives or if they even qualify. This varies substantially from state to state since Medicaid follows broad federal guidelines but is customized by each state to meet the needs of their residents. For just Medicare, yes there is a share of cost the is involved and it can be substantial. Medicare Advantage plans may be of help in controlling the costs but it requires a bit of legwork on the individuals part to weigh the benefits of the different options or to see if one is even of value to them.
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.
Can I use my medicare coverage to help pay for my oxygen supply?
Medicare covers 80% of your oxygen equipment needs. You are responsible for the other 20% of the cost.
How do you apply for Medicare?
It depends on which insurance one needs. If it's just basic medicare, one can apply online at https://secure.ssa.gov/apps6z/iClaim/rib
