Does anyone have any clarity on what providers are required to bill to Medicare (not Advantage Plan)?
If we provide services, such as vaccines that are never covered, are we required to bill the service to Medicare? It was my understanding that all services whether covered or not are to be billed. Of course, there's ABN requirements and things for typically covered services, but I am asking specifically about services that are non-covered all of the time.
Also, if we are providing services, such as acupuncture, massage therapy and chiropractic services from providers who are NOT enrolled as Medicare providers (they do not have PTN), to Medicare entitled patients, is this ok? Does any provider who treats a Medicare patient need to be enrolled with Medicare? Or is it ok, as long as Medicare is not billed? Please help!! Thank you for your insights!!
If we provide services, such as vaccines that are never covered, are we required to bill the service to Medicare? It was my understanding that all services whether covered or not are to be billed. Of course, there's ABN requirements and things for typically covered services, but I am asking specifically about services that are non-covered all of the time.
Also, if we are providing services, such as acupuncture, massage therapy and chiropractic services from providers who are NOT enrolled as Medicare providers (they do not have PTN), to Medicare entitled patients, is this ok? Does any provider who treats a Medicare patient need to be enrolled with Medicare? Or is it ok, as long as Medicare is not billed? Please help!! Thank you for your insights!!