General Category > General Questions

provider fees w/medicare

(1/1)

rdmoore2003:
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. 

Michele:
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?

dekenn:
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:
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.

Navigation

[0] Message Index

Go to full version