Part B Claims: Even Non-Par Providers Must Submit Claims on Patient's Behalf

Article Overview

This article covers Medicare Part B billing responsibilities for providers who do not participate in Medicare, including non-par and opted-out arrangements. It discusses recent CMS guidance on claim submission, beneficiary self-submission in limited circumstances, and the practical implications for practices that treat Medicare patients. The content is relevant to coders, billing staff, practice managers, and providers who need to understand when claims are filed by the provider, the patient, or not at all under Medicare rules.