PECOS (the Provider Enrollment, Chain, and Ownership System) is an online platform healthcare providers and suppliers use to submit and manage their Medicare enrollment information. This allows them to register to provide services for patients with Medicare. The only other option for these groups of...
A service provider can charge patients more than the Scheduled Fee, resulting in patients having to pay a gap fee. Some GPs do not charge more than the Scheduled Fee for their services and bill Medicare directly (a process known as bulk-billing), meaning that patients have no upfront out-...
To be used for comparing communities or holding particular clinical provider organizations accountable, our metric would need to be risk adjusted, incorporating local community factors (such as adequacy of social support network and intensity of local care patterns) in addition to patient, organization,...
Medicaid Providers, Medicare, Medicare and Medicaid Provider Audits, Medicare Appeal Process, Medicare Attorney, Medicare Audits, Nursing Homes, Post-Payment Reviews, Provider Appeals of Adverse Decisions for Medicare and Medicaid, RAC Audits, Skilled Nursing Visits, Tentative Notices of Overpayment, UPICs...