Medicare Archives - Nurse Practitioners in Business

What you need to understand about Medicare cuts

Hearing about Medicare cuts causes a provider’s blood to run cold. Let’s look deeper – are they really cuts? Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” and/or “Should I start or switch to a cash-only practice?” by NPs who are new to business Read More

GuestPost, Medicare, Practice Issues

FAQs of Opting Out of Medicare

Opting out of Medicare has caused a lot of confusion for NPs and other providers. Not understanding what it means can lead to problems & fines. In this episode of the NP Business Matters Podcast (Episode #65) I address: The Social Security Act and how that impacts providers. When you can bill Medicare and when Read More

Legal Issues, Medicare

Medicare, Are you in or out?

The idea of opting in or out of Medicare is a frequent question we receive. In this episode of the NP Business Matters Podcast, Short Takes, we discuss this in further detail. The most important thing clinicians need to understand is when you opt out of Medicare, you are out everywhere. It’s global. You are Read More

Medicare, Podcast

Medicare Reimbursement Incident To on NPBusiness.ORG

QOW: Medicare Reimbursement & Incident-to

There is a good amount of confusion among nurse practitioners and others regarding Medicare reimbursement and Incident-to billing. In this question of the week, I address: What incident to is The rules for appropriate billing of incident to Why you don’t want to use it How it affects your reporting status for MIPS (MACRA) The Read More

Incident To, Medicare, Question of the Week

Opting Out of Medicare

Whenever Medicare changes its rules, providers express interest in opting out of Medicare. Indeed, many clinicians are wondering about, and opting out of third party payment systems for a variety of reasons (low payment, no payment, and hassle factors), which we will explore in another article. However, with the Medicare Access and CHIP Reauthorization Act Read More

Insurance, Medicare, Opting-Out

Medicare to hold claims

The 2014 Medicare Physician Fee Schedule (MPFS) final rule stipulated a negative update to the MPFS that was to be effective January 1, 2014. That reduction was averted for three months with the passage of the Pathway for SGR Reform Act of 2013, which provided for a 0.5 percent update for services paid under the Read More

Billing, Medicare