If you have not opted out of Medicare and you provide an item or service that may be covered by Medicare Part B, you must submit a claim on behalf of the Medicare beneficiary and you are not allowed to charge the beneficiary more than the applicable Medicare limits on charges. What are the Medicare Claim and Reimbursement Requirements if I perform Part B covered services and don't opt out?ĭentists who provided Part B covered items or services to patients who are Medicare beneficiaries have obligations under the Medicare program, even if the dentist is not enrolled as a Medicare provider or does not wish to submit Medicare claims. The brush biopsy used for oral cancer screening may be covered under Part B.Inpatient oral exams, but not treatment, are covered under Part A prior to renal transplant surgery.
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