decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Participation - Non-Participation in Medicare / Advantages of Non-Participation
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Article Overview
This article covers the practical effects of choosing non-participation in Medicare, focusing on revenue implications and claim-status communication with carriers. It is intended for physicians, billing staff, and other revenue cycle professionals who need a high-level understanding of non-par Medicare operations and related claim processing information.
Why This Topic Matters
Understanding the differences between participating and non-participating Medicare arrangements can affect billing strategy, cash flow expectations, and how providers obtain claim-status information from carriers.
What You Will Learn
- How non-participation in Medicare can affect revenue considerations
- What types of claim-status information carriers may provide to non-participating providers
- What administrative topics are associated with non-par Medicare billing and claim follow-up
- The general operational differences discussed for participating versus non-participating Medicare providers
Who Should Read This
- Physicians
- Medical billing staff
- Revenue cycle staff
- Practice managers
- Healthcare administrators
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