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What you don't know about Medicare could be costly!

I Refuse to Participate in Medicare!!!!

I refuse to participate

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I hear this a lot...

And it's not my job to convince you to accept Medicare. It's still a free country, and your practice is yours to operate as you please.


BUT...


The government requires that every eligible provider declare their intentions with regard to Medicare affiliation. That means one of three things: participate, enroll as non-participating, or formally opt out.


Staying un-enrolled, but not opted out, can be VERY risky!


How would they know?


As soon as your client presents a superbill requesting reimbursement.


Next, you will get an official letter stating that you are in violation of the law, and that you could face sanctions if you don't enroll and file claims for your client.


UH OH. Gulp. What now?


Well, for a first offense, you will most likely be required to refund all fees paid by your client during the period in which you were not complying with Medicare by either being enrolled (participating or non), or opted out.


What is opting out? It's easy. Go to the Provider Enrollment section of your Medicare contractor's site. Download, complete, and mail in the opt-out affidavit to them. Then download the private contract for use with clients.


BUT...your opt-out won't be made retroactive, so you'll still have to return fees from before you took action.


Unless you are proactive and DO IT NOW!



Find out more...

Do you stress over Medicare?

Not sure whether to participate? Afraid of not getting paid, being constantly audited, or having money clawed back? Can't believe it's possible to deal with Medicare and have it be easy?


It CAN Be Easy. Really.


In just two valuable hours, Your Billing Buddy will tell you all you need to know - in plain English. Medicare is not hard - IF you know the secrets!


March 10, 2023, 10 am Pacific / 1 pm Eastern


Therapists: Medicare Demystified!


Medicare Demystified!

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Changes on the way for TRICARE!!


If there's one thing that's a constant in healthcare financing...it's Change! As soon as you figure something out, or something gets running smoothly...Then time to change it up again!


TRICARE announced the awarding of new contracts beginning in 2024 *and* the shifting of six states from the East Region to the West Region.


Does this affect you?


If you practice in the West Region: YES. On January 1, 2024, the contractor changes from Health Net Federal Services to TriWest Healthcare Alliance.


If you practice in the East Region: Only if you are in one of the following states:

  • Arkansas
  • Illinois
  • Louisiana
  • Oklahoma
  • Texas
  • Wisconsin

These six states will move from TRICARE's East Region, to the West Region.


East Region states other than those listed above will have no changes - Humana's contract to administer TRICARE in the East Region was renewed.


If you are affected....there's nothing you can do now except make sure your current contact information is on file so that when the time comes to act, you receive the information sent to you.


The announcement can be found here and contains a couple of other items that might be of interest. They are promising "Greater provider network flexibility" and "Enhanced telehealth appointments."


What do they mean? We'll have to wait and find out. I promise to keep you updated!

Who is Your Billing Buddy?

Have you ever wished for a biller who wouldn't charge you a percentage of EVERY dollar you make? Someone you could count on when you get stuck?


Susan Frager, Your Billing Buddy. I've spent 25 years as a mental health biller for practices in 23 states - I can help YOU, too!


You CAN bill and manage your practice on your own...with a little help. You do the easy part - keep as much money as you can. Then when the going gets rough...Don't give up! Schedule a consultation.


You don't have to go it alone.


susan@yourbillingbuddy.com

(360) 628-8612

Losing money from Virtual Credit Cards? Are they a pain to charge but also a pain to call and opt out?

Wish you could get them stopped FOREVER?

You CAN!


It is 11 months to the day since the government came out on OUR side (for a change) and said that plans HAD to offer ways to get paid that did not involve fees. Has anything changed?


It did for Your Billing Buddy. After extensive research and testing, in 6 months I've managed to reduce the incidence of virtual credit cards by about 90% where providers followed my methods. I now offer those to you!!


Shouldn't come as a surprise...just because the government said we have these rights, does NOT mean the payers and their intermediaries are going to make it easy for us. But Your Billing Buddy has found a way!

Click here to purchase eReference Manual: Stop Virtual Credit Cards!

Need help with a denied claim? Credentialing?

Get help with anything related to billing, claims, and practice management.

Get help from your Buddy!

1420 Marvin Rd NE # C464

Lacey, WA 98516

(360) 628-8612

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