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Medicare Billing Information
Medicare
FAQ’s
Q. What is an ABN (Advance Beneficiary Notice)
?
You will be asked to read and sign an Advance
Beneficiary Notice (ABN) – Medical Necessity Waiver prior to
receiving care that falls in a category that Medicare or Medicaid
may not consider covered. In that instance, you accept
responsibility for payment of the full amount charged.
Q. How does receiving an ABN (Advance
Beneficiary Notice) help me?
The Advance Beneficiary Notice (ABN) helps you to
make an informed decision whether to receive the service or item
that is not covered by Medicare and how much this service will cost
you.
Q. I have health insurance in addition to
Medicare. Will you bill the other insurance company also?
If you have given us information about your
additional health insurance, we will bill that insurance company
after Medicare makes their payment.
Q. Why do I have to give you information about
other insurances if I have Medicare coverage?
Medicare will not allow us to file claims until
the other insurer has denied claims. In certain situations, we must
consider the possibility that another party may be responsible for
your expenses before we bill Medicare. For example, if you were
injured in a car accident, or at your work site or on someone else’s
property, it is our responsibility to make sure those claims are
filed appropriately. Consequently, we need to have complete
information about all insurance coverages you have.
Q. What is the Medicare Explanation of
Benefits (EOB)Form?
The Explanation of Benefits form is an
information document that Medicare sends to you after it has
processed your medical claims. The Explanation of Benefits form
provides you with information about the payment status of your bill.
Q. What should I do with my
Explanation of Benefits (EOB) form?
We recommend you keep the
Explanation of Benefits forms you receive from Medicare until all
your medical claims have been paid in full. If you have other health
insurance in addition to Medicare coverage, your insurance company
will normally require a copy of the Explanation of Benefits from you
before they will pay any remaining balance on your account.
Q. What is the difference between Part A and Part
B on the Explanation of Benefits (EOB)form?
Part A covers inpatient hospitalization and Part
B covers outpatient services.
Q.
What is my
Medicare deductible?
Click here for a detailed
answer on the Medicare Web Site.
(http://questions.medicare.gov)
Q. Should I pay the balance listed as “your total
responsibility” on the EOB
form?
No, this amount could change
depending on your individual insurance coverage. You should wait
until you receive a bill from
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Patient Accounts Hours of Operation
Monday-Thursday:
7:00 A.M. - 4:30 P.M.
Friday:
7:00 A.M. - 4:00 P.M.
All Billing Inquiries Call:
517.663.9407.