Participation - Non-Participation in Medicare / What Deciding not to Participate Means

Article Overview

This article covers the practical and compliance differences between participating and non-participating Medicare providers. It discusses assignment, patient billing limits, claim filing responsibilities, historical claim form references, carrier monitoring, and the circumstances in which a claim must still be submitted for a coverage determination. It is relevant to physicians, suppliers, billing staff, and compliance professionals who work with Medicare claims and beneficiary billing requirements.