- Joined
- Jul 16, 2005
- Messages
- 40
- Reaction score
- 2
Oh wise ones, your knowledge is requested,
I was trying to figure out options about medicare enrollment/billing. I understand there are multiple options: enrolled and opted out, enrolled and participating (par), and enrolled and nonparticipating (non-par). PAR physicians get paid directly from medicare after submitting a claim to them, and NON-PAR collect it from the patient. Opted out docs can do private contracts with medicare patients. PAR and NON-PAR docs have to submit claims to medicare, and there are some differences in how incentives affect payments, as well as amount that can be charged. All this I know.
However, what I'm wondering about is if a provider is not enrolled in medicare, does the doc need to submit a claim? Also can docs who are not enrolled in medicare partake in private contracts with patients?
I was trying to figure out options about medicare enrollment/billing. I understand there are multiple options: enrolled and opted out, enrolled and participating (par), and enrolled and nonparticipating (non-par). PAR physicians get paid directly from medicare after submitting a claim to them, and NON-PAR collect it from the patient. Opted out docs can do private contracts with medicare patients. PAR and NON-PAR docs have to submit claims to medicare, and there are some differences in how incentives affect payments, as well as amount that can be charged. All this I know.
However, what I'm wondering about is if a provider is not enrolled in medicare, does the doc need to submit a claim? Also can docs who are not enrolled in medicare partake in private contracts with patients?