jebond123
Networker
- Messages
- 34
- Location
- Vancouver, WA
Hi
I need some advice on the following scenario: My boss is OB/Gyn and has a contract with Medicare. He is asking if we can decline providing wellness services to our Medicare patients based on reimbursement. We are a small
practice and the routine care reimbursement is not covering his time and staff oversight. He has even contemplated terminating his participation with Medicare but I was warned by Medicare Provider Contracting that this was a bad idea due to the fact that we could incur huge penalty fees if we were to provide care for a Medicare patient and not go by their guidelines. I really don't understand any of this and any help is greatly appreciated.
Our reimbursement for G0101 only is just around $50 and does not begin to cover the time and care given. Paps are only every 3 years so we are stuck with a $50 reimbursement in most cases.
Thank you for any help.
Janet
I need some advice on the following scenario: My boss is OB/Gyn and has a contract with Medicare. He is asking if we can decline providing wellness services to our Medicare patients based on reimbursement. We are a small
practice and the routine care reimbursement is not covering his time and staff oversight. He has even contemplated terminating his participation with Medicare but I was warned by Medicare Provider Contracting that this was a bad idea due to the fact that we could incur huge penalty fees if we were to provide care for a Medicare patient and not go by their guidelines. I really don't understand any of this and any help is greatly appreciated.
Our reimbursement for G0101 only is just around $50 and does not begin to cover the time and care given. Paps are only every 3 years so we are stuck with a $50 reimbursement in most cases.
Thank you for any help.
Janet