tci Medicare Compliance & Reimbursement - 2015 Issue 4

Industry Notes: Opting Out? Treat All Medicare Patients Equally, CMS Says

If the thought of opting out of Medicare piques your interest, you might be in need of a quick opt-out primer. Fortunately, the Centers for Medicare & Medicaid Services (CMS) provided one recently when the agency revised MLN Matters article SE 1311, which carefully outlines the requirements of practitioners who opt out of the program. What it means: When you opt out of Medicare, “neither the physician nor the beneficiary submits the bill to Medicare for services rendered,” CMS says in the article. “Instead, the beneficiary pays the physician out-of-pocket and neither party is reimbursed by...

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