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FW: Do Anti-Markup Rules Apply if Medicare Secondary

  • 1.  FW: Do Anti-Markup Rules Apply if Medicare Secondary

    Posted 06-10-2019 13:57

    Does anyone know if Anti-Markup Rules apply when Medicare is secondary?

     

    If so, does anyone have experience with managing that?  Wondering whether commercial payors would balk at splitting PC and TC when both components are billed by the same provider.  If so, how does that flow through to Medicare if you have to split bill if one component is subject to anti-markup rules?

     

    Thanks for any insight on this topic.

     

    Dave

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    5800 Foxridge Drive  |  Mission, KS  66202  |  www.uickc.com

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    Contrast supervision done virtually. Lower your overhead, increase your profits.


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