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What else can I help you with?
What provider receives reimbursement for MEdicare directly from the fiscal intermediary?
PEER
How do you find the Medicare provider number of a specific provider?
you can do a general internet search or call your local Medicare intermediary and ask who a specific provider is they will never release the provider number over the phone and you cant get it any other way without being affiliated with the provider.
Is the Medicare card number the same as the claim number?
No, the Medicare card number is not the same as the claim number. The Medicare card number, also known as the Medicare Beneficiary Identifier (MBI), is a unique identifier assigned to each Medicare beneficiary. In contrast, the claim number is specific to each individual healthcare claim submitted for reimbursement and can vary based on the provider and service.
I am disabled and have medicare. I would like to know if I could get incontinencey products that would be covered.?
If you have an applicable disability and Medicare part B coverage, then yes incontinence products are covered by Medicare. You generally need a prescription from the doctor for a provider to bill Medicare directly for those products. You can contact Medicare directly at 1-800-633-4227 to see if you qualify.
How does the Medicare reimbursement work when people purchase mobility scooters?
Medicare is a government program designed to assist seniors and the disabled. Mobility scooters are designed to assist seniors and the disabled. When scooters are purchased, Medicare will reimburse companies at a certain rate for the elderly and the disabled.
What is the name of the claim form when submitting an medicare claim?
Paper medical bills are referred to as HCFA-1500 forms, however Medicare no longer accepts paper bills from providers, all billing must be submitted via electronic claim form. If you are asking this question as the patient, your provider should be the one submitting the bill for reimbursement from Medicare.
Medicare Unnecessary Bill or Service?
Get StartedIf you suspect that your doctor, hospital or other health care provider is performing unnecessary or inappropriate services or is billing Medicare for services you did not receive, you should report such fraud or abuse immediately to the Medicare carrier or intermediary who handles your claims.If the Medicare carrier or intermediary does NOT adequately respond to your letter reporting Medicare fraud or abuse, you may send this letter to: HHS - Tips, P.O. Box 23489, Washington, D.C. 20026.If you prefer to make your complaint by telephone, the toll-free Hotline number is 1-800-447-8477. This number is staffed from 8:00 a.m. until 5:30 p.m. Eastern Standard Time, Monday through Friday. You should ONLY write or phone the Hotline if you have NOT received a satisfactory response from the Medicare carrier or intermediary.
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.
Can a Medicare participating provider decide to accept assignment on a claim-by-claim basis?
No. This is false. - A Medicare participating provider can not decide to accept assignment on a claim-by-claim basis. The provider registers with Medicare as a provider that will accept assignment and must accept assignment on all patients.
What does it mean when a provider accepts assignment of benefits in relation to Medicare?
It means that the provider agrees to bill Medicare for treatment and accept Medicare as payment in full (except for co-pays and deductibles).
Does medicare cover surgery and anesthesia for a gum cyst?
Medicare may cover surgery and anesthesia for a gum cyst if it is deemed medically necessary. Coverage typically falls under Medicare Part B, which includes outpatient services, but specific criteria must be met. It's important to consult with your healthcare provider and Medicare directly to confirm coverage details and any potential out-of-pocket costs. Always check if the procedure is performed by a Medicare-approved provider for full benefits.
Is it illegal for a provider to bill a Medicare patient for a bill when Medicare has not paid their share?
Yes
