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Wiki Physicians Treating Family members

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Austin315

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I've heard before that this is not covered by Medicare, at least in New York State. Does anyone have any links from MCR or any other carriers as to not billing services provided to direct family members?
Thanks in advance.
 
Austin315 said:
I've heard before that this is not covered by Medicare, at least in New York State. Does anyone have any links from MCR or any other carriers as to not billing services provided to direct family members?
Thanks in advance.
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See section 130 here:

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c16.pdf


Research I've done for other payers has been the same...it's highly recommended by the AMA that doctors not treat relatives, but if they do, it cannot be billed to insurance.

HTH!
 
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