Joined: November 28, 2008
Just wondering if anyone knows medicare guidelines for private pay billing if you are a medicare provider (which I am). I work in New York City and have the opportunity to work with a few clients for private pay-which means a lot more money than I'd make doing home care through an agency. I was told that it may be illegal to bill more than what medicare would bill for the same services. Is this true? And if it is-what is the limit that can be charged? If clients are willing to pay (without hardship) and MD's are willing to write scripts, is this an issue?
Hope this makes sense. Any help would be appreciated!!
Joined: May 11, 2004
Home health is a Medicare A benefit. I'm not as familiar with Medicare A.
Are those patients considered homebound? If not, then they fall under Medicare B. Under Medicare B, if you are a Medicare provider, you signed a contract with Medicare. If you agreed to be a participating provider, you will only be reimbursed at the par dollar amount.