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
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
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
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
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
Beginning October 1, 2013, new Medicare requirements will require a physician to sign and document that a face-toface visit has taken place within the previous 6 months before durable medical equipment can be ordered. Currently nurse practitioners (and physician assistants) manage this for their patients. The consequences of this will increase cost as well as Read More
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