Author Topic: provider fees w/medicare  (Read 1043 times)

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
provider fees w/medicare
« on: March 29, 2011, 04:01:08 PM »
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. 
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: provider fees w/medicare
« Reply #1 on: March 30, 2011, 06:54:22 AM »
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?
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

dekenn

  • Jr. Member
  • **
  • Posts: 77
Re: provider fees w/medicare
« Reply #2 on: March 30, 2011, 10:08:18 AM »
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:

An application fee in an amount prescribed by CMS, and/or

A request for a hardship exception to the application fee.

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4706
    • Solutions Medical Billing
Re: provider fees w/medicare
« Reply #3 on: March 31, 2011, 08:14:51 AM »
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.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com