BC Advantage - 2007 Issue 5

Opting Out of Medicare

There are billers and providers who are asking questions about opting out of Medicare and there are providers who have opted out and may not know what they can and cannot do with a Medicare patient. Opting out of Medicare has its advantages and disadvantages.  The advantages are that you are not subject to Medicare rules and possible audits, you are paid at the time of service, and you are paid your full charges.  The disadvantages are that the Medicare patient has the option of seeking care from a Medicare provider, Medicare usually guarantees payment for covered...

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