tci Medicare Compliance & Reimbursement - 2023 Issue Q3

Reimbursement: Boost Non-PAR Smarts With These 3 Steps

Understand the nuances of identifying as a non-participating practice. Practices that decide to become non-PAR providers in the Medicare program often think that once they hit non-PAR status, that they’ll never have to be in contact with a Medicare representative again. But that’s not the case. Step 1: Know What ‘Participating’ Means When you agree to be a participating Medicare provider, you “voluntarily and in advance enter into an agreement in writing to provide all covered services for all Medicare Part B beneficiaries on an assigned basis,” advises Part B Medicare Administrative Contractor (MAC)...

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