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A recent thread provoked me to ask this and before I go calling on a few doctors' offices or call inadequate broker hotlines, I thought I'd ask you professionals on here hoping you would know the answer to my questions.
I am wondering can doctors opt not to accept an MA claim for certain procedures even though he accepts a PFFS plan at the time of procedure / service?
For example, Dr. Smith accepts Secure Horizons and Mrs. Jones went in for a MRI. Okay, so we know that Doctors can drop an MA at any time at will. But, can they choose what they will or will not accept or is everything covered on an MA plan if they accept the Part C MA plan accordingly dictated by the carrier's EOC and Medicare guidelines?
This is where the smut of the smut will pervade. Thank you.
I am wondering can doctors opt not to accept an MA claim for certain procedures even though he accepts a PFFS plan at the time of procedure / service?
For example, Dr. Smith accepts Secure Horizons and Mrs. Jones went in for a MRI. Okay, so we know that Doctors can drop an MA at any time at will. But, can they choose what they will or will not accept or is everything covered on an MA plan if they accept the Part C MA plan accordingly dictated by the carrier's EOC and Medicare guidelines?
This is where the smut of the smut will pervade. Thank you.