Medical Billing Forum
General Category => General Questions => : rdmoore2003 March 29, 2011, 07:01:08 PM
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I saw the information about Medicare charging fees to providers for initial and re-enrollments. Does anyone know where their logic is? Do you think that it is to require providers to continue to see Medicare pts? I know of many providers that have cancelled their contracts with medicare due to the reimbursement decreases. Just wanting to see what your thoughts are.
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Medicare = Government Agency
Logic = common sense
No roads from Government Agencies to common sense.
I have no idea why they are charging now, the only thing I can come up with is a way to come up with money to put into the systems that they have robbed from to pay other things??
Anybody else?
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If you look at the regulations, they are not charging fees for physicians, physician groups, non-physician practitioners and groups. It looks like it's just for facilities, and DMEPOS providers.
From the CMS Website, change request 7350:
Application Fees
With the exception of physicians, non-physician practitioners, physician group practices and non-physician group practices, providers and suppliers that are (1) initially enrolling in Medicare, (2) adding a practice location, or (3) revalidating their enrollment information, must submit with their application:
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An application fee in an amount prescribed by CMS, and/or
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A request for a hardship exception to the application fee.
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Yes that is true, physicians etc, are exempt right now. I just worry that this is just the beginning. Several physicians also do DME. Why charge if the place is not a physician? I don't know, just doesn't make a lot of sense to me and I'm afraid it will lead to charging across the board.