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The Dark Side of Medicare Advantage Plans

Nurse Practitioners in Business

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

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FAQs of Opting Out of Medicare

Nurse Practitioners in Business

Opting out of Medicare has caused a lot of confusion for NPs and other providers. When you can bill Medicare and when you don’t have to. What it means by opting out of Medicare. What it means by opting out of Medicare. Can you just refuse to see Medicare recipients?

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What you need to understand about Medicare cuts

Nurse Practitioners in Business

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” In fact, at 66 years old, I am a beneficiary of Medicare Part B and a Medigap plan. And many have strong opinions on this.

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What Does Medicare Cover?

American Nurse

Medicare is a federal program that provides health insurance to retired individuals, regardless of their medical condition, and some younger people with disabilities or certain health conditions. You can receive Medicare coverage either by enrolling in Original Medicare or a Medicare Advantage Plan (typically an HMO or a PPO).

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Understanding Medicare Training

American Medical Compliance

The following Understanding Medicare Training educates healthcare providers and patients on the purpose of the Medicare program in the United States. Medicare is the federal health insurance program for people aged 65 or older, certain younger people with disabilities, and also people with End-Stage Renal disease.

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Medicare Open Enrollment Period Is Here!

Elder Care Matters

Are you prepared for the Medicare Open Enrollment period? This annual window, which runs from October 15th to December 7th, allows you to make changes to your Medicare coverage. In this blog, we’ll break down the key aspects of the Medicare Open… The post Medicare Open Enrollment Period Is Here!

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WHAT IS THE MEDICARE OBSERVATION TRAP?

Elder Care Matters

The Medicare Observation Trap happens when patients and families are least expecting it. The patient goes to the Emergency Room, where they undergo a thorough… The post WHAT IS THE MEDICARE OBSERVATION TRAP? The patient has a serious health emergency and goes by ambulance to a local hospital.