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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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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.

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Understanding Participating and Non-participating provider status for NPs

Nurse Practitioners in Business

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

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Maximize Your Medicare Benefits: Essential Tips for Effective Elder Care and Estate Planning

Elder Care Matters

Discover essential tips for navigating Medicare to maximize your benefits. Learn how to integrate Medicare into your estate planning and long-term financial strategies to ensure effective elder care. Explore key insights on enrollment, plan selection, cost management, and preventive services.