(DOWNLOAD) "Disenrollment from Medicare: A Fourth Option?" by Journal of American Physicians and Surgeons # eBook PDF Kindle ePub Free

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eBook details

• Title: Disenrollment from Medicare: A Fourth Option?
• Author : Journal of American Physicians and Surgeons
• Release Date : January 22, 2011
• Genre: Industries & Professions,Books,Business & Personal Finance,
• Pages : * pages
• Size : 268 KB

Description

Medicare has always recognized two categories of physicians, "participating" and "non-participating," both of which are bound by Medicare rules, including the requirement for the physician to submit claims. Services by such physicians may be covered by Medicare. With the Balanced Budget Act of 1997 came the "opted-out" status, under which physicians are still subject to many Medicare rules, especially related to patient contracts and re-opting out requirements, and patients cannot receive reimbursement except in emergencies. Now that physicians are being required to enroll or "revalidate" enrollment, there is increasing interest in the potential fourth option of nonenrollment or disenrollment, previously discussed in our summer 2010 issue. (1) Much of the material below was recently submitted to the House of Delegates of the California Medical Association, which has charged its legal department to analyze issues pertaining to disenrollment. The House passed a resolution submitted by the Solo Small Group Practice Forum, quoted below.

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