Posts filed under 'For Medicare Providers'

How to file your claim with secondary insurance after Medicare has processed.

While Medicare does provide many answers to people who need insurance coverage and must have the coverage to survive, it does not always have all of the answers.  What you must do is know enough about how the process works in order to keep yourself and your medical insurance going.  Here is how to file a claim with your secondary insurance if Medicare doesn’t pay the full claim the first time around.

First, you should contact your secondary insurance company and see if they will give you the name for a contact that handles secondary claims after Medicare. This person should give you an idea of how the process works and what will be required of you in this situation.  However, there will be times when you call the other company and they do not have a contact for the secondary insurance claims, don’t let this company off the hook too easy.

Explain your situation to your Medicare secondary insurance company and advise them that you need assistance in filing your secondary claims.  They should give you instructions at this time to make the process as routine as possible.  Once you have all of the information that you need from your secondary insurer there will be no excuses for not getting things done.

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Medicare Bariatric Surgery: Medicare Creates Coverage for Obesity Surgery

In February 2006, Medicare announced that it would cover bariatric surgery, which is surgery used to treat obesity. Three different types of surgeries are covered: The Roux-enY bypass, which creates a small pouch in the stomach to connect to the bowel in order to bypass most of the stomach; open and laparoscopic biliopancreatic diversions to bypass most of the small intestine and pancreas, and laparoscopic adjustable gastric banding, which pinches off part of the stomach.

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Medicare HCPCS Codes Explained

Medicare spending is estimated to grow by 7% per year, so how will the system keep up? The money issues are the responsibility of the government. As far as patient care and recordkeeping goes, Medicare has a form for every situation, and will likely create more. The system also has a Medicare code for every conceivable medical condition and drug.

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Medicare Provider Number Application Tips

The Medicare Program is a health insurance program of the U.S. Government. U.S. citizens and permanent residents are eligible for Medicare coverage if they (or their spouses) worked 10 years or more in employment covered by Medicare and are at least 65 years old.

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