Medicare 201: Beyond the Basics in 2027

Rick GawendaLeave a Comment

This 1.5 hour online course will teach participants about topics that are typically not taught in onsite seminars, at national conferences and definitely not in college. Topics include medicare enrollment, Qualified Medicare Beneficiary program, multiple procedure payment reduction, and how payment is determined for each CPT code.

Qualified Medicare Beneficiary Program

Lately, I have been receiving questions regarding Medicare beneficiaries who are dually eligible (have Medicare primary and Medicaid secondary) and are enrolled in the Qualified Medicare Beneficiary (QMB) program. Medicare beneficiaries enrolled in the QMB program are also enrolled in Medicaid and get help with their Medicare premiums and cost-sharing. What providers want to know is can they bill the Medicare beneficiary who is enrolled in the QMB program for the 20% co-insurance the Medicare program does not cover as well as any deductible the Medicare beneficiary has not met yet if the Medicaid program does not pay that portion? … Read More