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What else can I help you with?
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.
Are the GOP planning to cut out all medicare for seniors?
The Republican plan is to have a voucher system where seniors can shop around for health insurance that suits them best. For a more in depth look at the differences in the parties' views on medicare, please see the article in the related links.
What is the difference between a medicare participating provider and nonparticipating?
Like most things involving the government, it's kind of complicated, but basically: A participating provider has agreed to submit all claims to the Medicare program. A non-participating provider may choose to submit, or not to submit, claims to Medicare on a case-by-case basis. The biggest practical difference to a patient covered by Medicare is that if they go to a participating provider they will probably only be asked to cover the Medicare co-payment at the time of service. If they go to a non-participating provider, they may be asked to make payment in full at the time of service.
Why is Medicare available to all seniors?
because they or their spouses have paid Social Security taxes through their working years. Since Medicare is a federal program, the rules for eligibility remain constant throughout the nation and coverage remains constant
When a physician agrees to become a Medicare provider he agrees to accept assignment for all claims he submits This means that Medicare sets an allowable amount for a service When the claim is su?
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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 being done for the Senior citizens who hit the gap in Medicare part D prescription drug coverage?
I received this Email from Vice President Biden today.Good morning,Now I know not everyone reading this is a senior, but chances are you know a few, so please forward along this email. It's long, but it has some important information.I've got some good news for America's seniors -- those of you who have been hitting the gap in Medicare Part D prescription coverage will be receiving a $250 check in the mail starting this week. This is part of our promise to protect Medicare, help seniors manage health care costs and, ultimately, eliminate this gap (known as the "donut hole") in prescription drug coverage.Here's how it works. The one-time, tax-free $250 checks to help cover prescription costs go out in the mail today. Only seniors who have hit the coverage gap will receive them, and if you hit it in the future, you should get a check about a month later. If you don't already know if you are in the coverage gap, check the Medicare Explanation of Benefits notice mailed each month.Even if you're not getting a check, the Affordable Care Act provides a number of Medicare benefits you should be aware of like free preventive care, community health teams to make it easier to deal with multiple doctors, and improvements to Medicare Advantage that save seniors money.Earlier this week, President Obama answered questions from seniors across the country and took on the bogus rumors that folks are going to lose their guaranteed benefits. You can watch the full video of the event here:http://www.whitehouse.gov/seniors-town-hallIn case you don't have time to watch the entire video, here are a few important points seniors should know about Medicare and the Affordable Care Act:Guaranteed Medicare BenefitsIt's important that seniors know that their guaranteed Medicare benefits are protected -- regardless of whether they are in Original Medicare or Medicare Advantage -- and seniors who have Medicare Advantage can choose to continue to be enrolled in the plan. The biggest difference is that now Medicare Advantage plans will have to compete on a level playing field with Original Medicare and put more of their premium dollars into health care costs, instead of profits or administrative costs.Free Preventive CareUnder the Affordable Care Act, Medicare beneficiaries will be eligible for free preventive care services like colorectal cancer screening and mammograms as well as a free annual wellness visit.Patient-Centered CareCommunity health teams will provide patient-centered care so seniors won't have to see multiple doctors who don't work together. The new law also helps seniors who are hospitalized return home successfully -- and avoid going back -- by helping to coordinate care and ensure they have access to support in their community.Cracking Down on FraudThe Affordable Care Act has important new tools to help crack down on criminals seeking to scam seniors and steal taxpayer dollars. Reductions in fraud, waste, and abuse will help extend the life of the Medicare Trust Funds by 12 years and provide seniors with cost savings.Medicare Advantage is a topic I know many seniors care deeply about. While the benefits guaranteed to seniors will not change under the new law, there has still been a lot of discussion about the program. This came up at the President's tele-townhall this week, and his answer was a good example of the productive conversation there:"There are examples of where Medicare Advantage has been a good deal for some seniors. But, overall, what happened to the program is, is that insurance companies were getting paid on average $1,000 more -- $1,000 more -- than the costs of regular Medicare..."If you're in regular Medicare, which is about 77 percent -- so three out of four of you who are in Medicare are signed up for regular Medicare, and one out of four of you are signed for Medicare Advantage -- those of you who aren't in Medicare Advantage, you're actually paying a higher premium for that extra $1,000 going to the insurance companies."Well, that doesn't seem like a good deal. That doesn't seem fair. So here's what we did under the law. What we said was, you can maintain Medicare Advantage, but we are going to say to the insurance companies that you can't use this just to pad your profits or to pay higher CEO bonuses. Eighty-five percent of what you spend has to actually be for health services. We're going to review the rates that are applied. We're going to set a rate that is fair and appropriate so that Medicare Advantage isn't costing people who aren't in Medicare Advantage."Watch the rest of that answer, and all the others here:http://www.whitehouse.gov/seniors-town-hallAmerica's seniors have worked a lifetime with the security of knowing that Medicare will be there for them when they need it. They have earned those benefits, and we have a commitment to deliver them. We will continue working to protect and enhance seniors' Medicare benefits, promote cost savings, and give doctors and seniors greater control over care.Sincerely,Joe BidenVice President
Where can I apply for medical insurance for seniors?
As a retired senior you should be able to get medical insurance through the government. It will be the cheapest option and is called medicare. Supplimental programs are offered by companies such as State Farm or All State.
Will Medicare pay for a ventricular pacemaker?
Yes, Medicare typically covers the cost of a ventricular pacemaker if it is deemed medically necessary by a healthcare provider. The pacemaker must be FDA-approved and the procedure must be performed by a Medicare-approved healthcare provider. It's important to check with Medicare or your healthcare provider to confirm coverage and any potential out-of-pocket costs.
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.
What explains Medicare payments and denials?
The EOB (Explanation of Benefits) is what explains Medicare's payments and denials. Sometimes it is referred to as an EOP (Explanation of Payment). This document will show all items filed on a particular claim for a particular provider. It will show which items were covered or noncovered and why, which items were denied and why, and which items were paid. It will also show the patient's responsibility as far as deductible and coinsurance goes. If the patient has a Medicare supplement or just a secondary plan and Medicare is aware who you have chosen, they will "crossover" the claim to the secondary. This means they will automatically send a notification to the secondary payor to let them know how much Medicare allowed (the total amount the provider should receive from Medicare, other insurance companies and the patient), and how much is being left to the patient/secondary.
Where can I learn more about medicare part D eligibility?
If one is looking for information regarding Medicare eligibility, there are a few places one can look. The government offers a website which has all the requirements along with a helpful Medicare Eligibility Tool for users to use. One may also choose to call a speak with a representative to get eligibility requirements.
