tci Medicare Compliance & Reimbursement - 2012 Issue 10
Reader Question: How Should You Bill Medicare?
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Article Overview
This article explains a reader question about Medicare billing workflows for participating practices. It compares two high-level claim submission approaches, discusses how remittance posting and patient responsibility are handled, and notes why some billing experts favor one general workflow over the other. The piece is intended for coding and billing staff, practice managers, and revenue cycle professionals who work with Medicare claims and MAC remittances.
Why This Topic Matters
Medicare billing workflow affects claim submission, remittance posting, patient billing, and practice accounting. Understanding the general approaches helps staff evaluate internal processes without relying on inconsistent billing habits.
What You Will Learn
- The general ways participating practices may submit Medicare claims
- How remittance information relates to allowable amounts and patient responsibility
- Why practices may prefer one Medicare billing workflow over another
- Common operational considerations in Medicare billing and posting
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle personnel
- Healthcare consultants
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