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    Wiki Medicare billing

    Does this apply toward DME when out of network. I do know with DME Medicare has contract with only few companies.
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    Wiki Medicare billing

    I have a Dr that is telling me he wants to register with Medicare but remain out of network and as long as he is registered he will get paid a lower rate by Medicare and we can balance bill the pt. I can't seem to get him to understand that it doesn't work like that but He is so persistent that...
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    Wiki Medicare billing

    Can I have a provider out of network with Medicare register with Medicare and get reimbursed as out of network.
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    Wiki Repeat pathology and modifier

    So how would I bill 4 specimens from 4 different sites being tested for the same thing. would it be billed 88305 88305-91 x3 or 88305 88305-91 88305-91 88305-91 or another way?
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    Wiki Repeat pathology and modifier

    Thank you!
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    Wiki Repeat pathology and modifier

    Which modifier would you use for repeat test if the same physician is reading the specimen and interpreting the test. We have been using 91 and have been getting Medicare denials.
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    Wiki Medicare billing and Managed care medicare

    Thank you! That's what I thought. But a I was told that we can bill medicare instead of the Managed care plan and that we can bill the patient the additional charges beyond medicare's contracted rate. She said she called Medicare and they told her we can bill the patient our charge amt (which...
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    Wiki Medicare billing and Managed care medicare

    If a provider is in network with Medicare but not a managed care plan (Aetna medicare or Anthem Medicare) is the provider allowed to bill the patient for the full charge or do we have to bill the pt the Medicare's contracted rate? Also if the provider isn't in network with the managed care plan...
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    Wiki Help with pathology and MACRA

    I'm currently working at a Dental Clinic that bills for Pathology. What will be the impact Macra has on pathology billing. Can someone direct me where I can look for information with pathology and Macra. I have tried looking on line through AAPC and google. Thanks in advance!
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