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What else can I help you with?
Can a physician charged a patient to complete a medicare form?
no
Can a physician bill a patient who has medicare and Texas medicaid?
Yes, if the physician accepted the individual as a private-pay patient.
If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?
WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.
If the doctor is a non contracted provider with medicare, is the physician liable for submitting claims on behalf of the patient?
No, as a non-contracted provider with Medicare, the physician is not required to submit claims on behalf of the patient. It is the patient's responsibility to submit the claim to Medicare for reimbursement. However, the physician may choose to submit the claim as a courtesy to the patient, but they are not obligated to do so.
What is Medicare Allowable?
"Medicare Allowable" charges: Providers who participate with Medicare agree to accept the Medicare allowable charge as full payment. Bear in mind that because Medicare is an 80/20 plan, the patient is still responsible for the 20 percent of the allowable charges not paid by Medicare. * For example: You have chemotherapy in your physician's office and Medicare is billed $500.00 for the service. The Medicare allowable or assignment for your chemotherapy treatment is $300.00. Your physician is paid 80 percent of $300.00 or $240.00. You are responsible for only the $60.00 not paid by Medicare but considered allowable under Medicare UCR fee schedule. This is because participating Medicare providers may not bill the patient for the balance amounts above the Medicare allowable fee schedule (known as "balance billing"). It is important to verify that your provider "Accepts Medicare Assignment" or is a "Medicare Provider" to avoid unexpected and potentially large out-of-pocket expenses.
When a patient is discharged the is responsible for documenting the discharge summary?
the physician
What does it mean for a patient to have dual insurance coverage?
This refers to the case in which a patient is insured by more than one insurance plan. For example, a Medicare patient is generally covered for 80% of charges for a physician visit. In this case , he or she would usually be responsible for the remaining 20% of charges. However, if he or she has dual insurance coverage and is also covered by a supplemental plan. Medicare plus, this secondary plan would generally pay the amount not covered by the patient's primary insurance plan, Medicare.
What is referring physician?
A physician who requests an item or service for a beneficiary for which payment may be made under the Medicare program. A physician who sends a patient to another doctor for specialty care or services.
I know Medicare covers 80% and the patient is responsible for the rest, but do they cover 80% of their fee or is that fee on the fee schedule the most they will cover. ?
Medicare covers 80% of what they feel the service should cost. If your doctor accepts Medicare, he is aware of Medicare's policies and what his reimbursement will be. You will be responsible for 20% of what Medicare did not cover.
Can a patient have medicare and medicare advantage?
No, a patient cannot have both Original Medicare and a Medicare Advantage plan simultaneously. Medicare Advantage plans are an alternative to Original Medicare, and when a patient enrolls in a Medicare Advantage plan, they effectively replace their Original Medicare coverage with that plan. However, patients may have supplemental plans, such as Medigap, alongside Original Medicare, but not with a Medicare Advantage plan.
Can a Medicare patient elect not to use Medicare?
if you are enrolled in it no, you can decline to enroll on medicare
What is a admitting physician?
An admitting physician is a medical doctor responsible for overseeing a patient's care when they are admitted to a hospital. This physician evaluates the patient's condition, orders necessary tests, and develops a treatment plan. They also coordinate with other healthcare professionals involved in the patient's care during their hospital stay. Essentially, the admitting physician serves as the primary point of contact for the patient's medical management while hospitalized.
