Author Question: Who are Providers of Service under Medicare? What are the eligibility requirements? List five or ... (Read 72 times)

anjilletteb · **on:** Jun 27, 2018

Who are Providers of Service under Medicare? What are the eligibility requirements? List five or more nonparticipating facilities that Medicare does NOT make payments to.

What will be an ideal response?

Question 2

What is meant by a patient encounter form?

a. A form reporting all patient encounters (i.e., visits) to the MCP
b. Nothing; there is no such thing
c. A report detailing sexual harassment on the part of the physician
d. A form used exclusively by the Group/IPA

cdmart10 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:
Providers of services and medical equipment suppliers under Medicare must meet all licensing requirements of the state in which they are located. To be a participating provider under the Medicare program, they must meet additional Medicare requirements before payments can be made for their services. All providers must bill Medicare for a patient with Medicare benefits regardless of that provider's participation in the program.
Medicare does not pay for the following care received in nonparticipating facilities:
Hospital care
Skilled nursing facility
Home health agency
Hospice
Outpatient rehabilitation
Dialysis facilities
Ambulatory surgical centers
Independent physical therapists
Independent occupational therapists
Clinical laboratories
Portable x-ray suppliers
Rural health clinics

Answer to Question 2

A