decisionhealth Newsletters, Answer Books - 2007 Issue 10 (October)
Answer_Book / Claims_Filing / Filing_assigned_versus_unassigned_claims
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Article Overview
This article explains how Medicare payment differs when a claim is filed as assigned versus unassigned. It is aimed at physicians, billing staff, and coders who need a general understanding of claim filing options, patient cost-sharing, and a specific Medicare exception discussed in CMS guidance.
Why This Topic Matters
Claim filing status affects who receives payment, how much Medicare may pay, and how patient cost-sharing is handled. Understanding the broad rules helps billing teams avoid filing errors and recognize when a Medicare exception may apply.
What You Will Learn
- How assigned and unassigned Medicare claims differ at a broad level
- How payment responsibility is generally split between the carrier and the patient
- Why certain services furnished together may be handled under the same claim status
- That Medicare guidance includes an exception related to mandatory assignment in some situations
Who Should Read This
- Physicians
- Medical billers
- Medical coders
- Practice managers
- Revenue cycle staff
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