Medicare Replacement Policies

Here are the most common plans that have replaced Medicare policies:

Health Partners Freedom- these plans DO need to be prior auth.
Medica-Prime Solutions -PA as req by Medica
U-Care- Medicare Advantage
Blue Cross Blue Shield-Medicare Advantage

All these plans require medicare diagnosis and follow medicare guidelines (only adjustments covered/ no exams, therapies or x-rays) . These patients should still sign the ABN for these services.

Also, regarding the new fee slips: please make sure
Patient name is ledgible and that a date is being put on the top- if not by the patient, then by whoever is checking them in- this is our only signed record by the patient that they were in the office that day.

Thanks :)
Kathy S.