tci Medicare Compliance & Reimbursement - 2016 Issue 2

Compliance: Remember That Not All Providers May Opt Out of Medicare

Know the difference between a covered service and a service that is reimbursable. Complying with Medicare regulations can be complicated and headache-inducing. You may even be considering opting out. However, you need to consider all the downsides of opting out before making a decision. “I believe that most providers would opt out of Medicare due to all of the requirements. But keep in mind that all payers follow Medicare guidelines and requirements; so opting out may not get providers anywhere,” explains Doreen Boivin, CPC, CCA, with Chiro Practice Inc., in Saco, Maine. How many times have you...

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