In addition to preventive services, Medicare Part B may also cover certain items, such as durable medical equipment (DME), under specific conditions. The cost-sharing for DME may vary, but it’s typically subject to the 20% coinsurance. However, for certain low-cost or basic DME items, you...
Private Fee-For-Service (PFFS)PFFS plans are unique because they allow you to see any healthcare provider who accepts the plan’s payment terms. The plan determines how much it will pay providers and how much you must pay when you receive care. It offers flexibility in choosing providers ...
What is the Medicare reimbursement fee schedule? Thefee scheduleis a list of how Medicare will pay doctors. The list reviews Medicare’s fee maximums for doctors, ambulances, and more. Find Medicare Plans in 3 Easy Steps Let us help you navigate your Medicare journey ...
2013 Medicare Physician Fee Schedule Requires Face-to-Face Visit Prior to DMEMark Faccenda
See Centers for Medicare and Medicaid Services, "Medicare Program, Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to- Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013;...