Medicare Policy. If you are a Medicare beneficiary, you understand that Healing Hands Therapy Center’s licensed occupational therapist is not enrolled as a Medicare providers. Medicare has onerous technical and administrative requirements that must be met for services to be considered medically necessary covered benefits. I believe those requirements take unnecessary time away from the services I provide. Since my services are not designed to meet Medicare’s covered benefit requirements and I am not a Medicare enrolled provider, my services will not be covered (paid) in full or in part, by Medicare (including Medicare Advantage Plans) even if the same services might be considered covered benefits when provided by a Medicare enrolled provider. We will not submit claims to Medicare on your behalf or provide you with a statement or billing codes that you can submit to Medicare yourself. If you want Medicare to pay for any services that might be considered covered benefits, you should seek those services from a Medicare enrolled provider. By choosing to receive my services after being fully informed of these facts, you are agreeing to pay privately for the services you receive from Healing Hands Therapy Center even if those services might be covered by Medicare if provided by a Medicare enrolled provider. You also understand that since I am not an enrolled Medicare providers and my services do not meet the technical requirements for Medicare covered benefits, my services are not subject to Medicare’s maximum allowable charge. You agree that you, your caregivers, family members, authorized representatives or power of attorney will not, under any circumstance, submit our claims, invoices, receipts or statements to Medicare or your Medicare Advantage Plan for reimbursement or to obtain a denial for a Medicare supplemental insurance plan.
Medicare Policy. We accept Medicare assignment on all Medicare claims, and will file one secondary claim for you. You must provide us with the current and correct information at the time of your visit. Please notify us if your Medicare insurance is primary or secondary.
Medicare Policy. We accept Medicare assignment on all Medicare claims. This means that we will reduce our fee to the amount allowed by Medicare. We will file one (1) secondary claim for you. You must provide us with the current and correct information at the time of your visit. If you have more than one (1) secondary insurance, you will have to file it yourself. If you ask us to perform a procedure that we believe Medicare will not approve, you will be required to sign an ABN (Advance Beneficiary Notice). Medicare requires this form be signed prior to you receiving the service. You will be required to pay the cost of the non-covered service at the time of the visit.
Medicare Policy. If you are a Medicare beneficiary, you understand that our licensed physical therapists are not enrolled as Medicare providers. Medicare has onerous technical and administrative requirements that must be met for services to be considered medically necessary covered benefits.
Medicare Policy. I request that payment of authorized Medicare benefits be made on my behalf to Nashville Skin & Cancer for any services or items furnished to me by the physician(s)/practitioner(s) of Nashville Skin & Cancer. I further request authorized Medigap benefits be made on my behalf to Nashville Skin & Cancer. I authorize any holder of medical information about me to be released to the Centers for Medicare and Medicaid services and its agents and/or my Medigap carrier, any information needed to determine these benefits or benefits payable for related services.
Medicare Policy. If you are a Medicare beneficiary, you understand your licensed physical therapists are not enrolled as Medicare providers. Medicare has onerous technical and administrative requirements which must be met for services to be considered a medically necessary covered benefit. Our services are not designed to meet Medicare’s covered benefit requirements. We are not Medicare enrolled providers and our services will not be covered (paid) in full or in part, by Medicare (including Medicare Advantage Plans). We cannot submit claims to Medicare on your behalf nor provide you with a statement or billing codes to submit to Medicare yourself. If you want Medicare to pay for any services that might be a considered covered benefit, you should seek those services from a Medicare enrolled provider. By choosing to receive our services, after being fully informed of these facts, you are agreeing to pay privately for the services you receive from us; even if those services might be covered by Medicare. You also understand, since we are not enrolled as a Medicare provider and our services do not meet the technical requirements for Medicare covered benefits; our services are not subject to Medicare’s maximum allowable charge.
Medicare Policy. Xx. Xxxxxxx is our only Medicare Provider. Other doctors in our practice are not Medicare providers. If you are currently eligible or become eligible for Medicare or any government program, you must notify me or my staff immediately, as this impacts your fees for service. If you do not notify me or my staff within 24 hours of your eligibility for coverage, the full fee for services are payable as of the date of eligibility and you will be under a Medicare Private Contract to self-pay without possibility of reimbursement, nor would you able to submit receipts yourself. Please read and sign Medicare’s form entitled, “Medicare Private Contract Agreement,” (provided separately). If you choose to see another psychologist in our office that is NOT a Medicare provider, you will be required to review and sign the Medicare Private Contract Agreement form and the Federal Notice of the No Surprises Act Notice, both provided separately. I do not offer billing services for secondary or supplemental coverage you may have. Medicare will automatically forward your claims to your supplemental/secondary insurer for processing. If I am contracted with your secondary insurer but not your primary insurer, I will provide you documentation of your services for reimbursement and payment for services will be due at the time of service.
