Well .. you have several options, here.
1) You can refer them to another office, that is Medicare certified;
2) You can charge your Medicare patients cash (explaining that your office is not for Medicare patients); or,
3) You can negotiate with them a price that is ok with everyone.
To simply bill Medicare, so they can deny you (because the office is not authorized by Medicare), will only allow you to balance-bill the patients. I don't know if you can balance-bill Medicare patients for anything. According to Medicare Patient rules, you collect the patient's co-pay, bill Medicare, receive Medicare's payment / EOB ... and write-off the balance Medicare didn't pay.
Hope that helps ...
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