Who are Providers of Service under Medicare? What are the ...

[anjilletteb]

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]

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

[anjilletteb]

Great answer, keep it coming

[FergA]

Thanks for the timely response, appreciate it