Posts tagged: Healthcare Provider

Can a healthcare provider bill Medicare a different CPT code than what they bill the commerical insurance?

medicare
w5pollar asked:


I have seen providers bill Medicare A9270 so they guarantee that Medicare will deny, so they will get more money by having member’s secondary commercial insurance pay as primary. Is this legal?

PECK

How does one go about submitting a suggestion to Medicare?

medicare
flyndnthehwy asked:


I am a healthcare provider with an idea for a relatively simple administrative/procedural change that could save millions of $$ and at the same time provide better patient care. Unfortunately, Medicare is so big, finding the right person to talk to is impossible.

KAPLAN