Richard, I think your making too much out of nothing. ... The one provider I have has NEVER had a thing to do with Medicare.. period.. what she does, what she charges.. is MOOT. She has that right.
The other one I'm speaking of (dealing with mental health) OPTED OUT OF MEDICARE.. did the whole legal mumbo jumbo to opt out. So what she charges.. is also MOOT.
I don't KNOW what you are reading..but those providers who have NEVER taken Medicare or opted OUT of Medicare have nothing to do with Medicare.. Period. It really IS THAT SIMPLE!! My providers with the exception of ONE.. have opted out of all govt payors. They are now NO longer controlled at ALL by govt payor rules. PERIOD.