tci Part B Insider - 2020 Issue Q1

Part B Billing: Know Billing Basics When Treating Family Members

Tip: Don’t forget about medical ethics and state regs. Providers treating family members now and again is fairly common, but one thing that may not be routine about these visits is how to bill for them. Although your physician’s sister’s annual wellness visit takes just as much time and effort as it would with any other patient, the billing can be quite different. So, before you send that claim to your Medicare Administrative Contractor (MAC), find out what the agency’s rules are in this category — they might just surprise you. First, Check State Ethics...

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