Re: Opting out of MEdicare

[Guest guest]

I would love to do away with all the hassles of insurance and billing, but I dont think it would fly here in Kansas. Also, I have alot of medicare pts who I dont feel right about sending them away.

Elaine, you still have time to opt out of Medicare. They extended the deadline to Feb 15th because of the last minute payment changes.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O. Box 7275

Woodland Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of

Sent: Thursday, January 31, 2008 7:22 PMTo:

Subject: Can you be both non par and par w medicare?

When I applied for my NPI, I was rejected. I discovered that the HMO that I work for has already applied for me and that I am already participating in Medicare/medicaid. If I opt out of medicare (which I can only do in nov/dec so I am stuck for this year) I will no longer be able to moon light at the HMO.

I would like to moon light to earn some income as my IMP is just getting started.

I was wondering if this is an option- apply for a new NPI no. under my corporation and become non par w medicare under my group/ corporation. My individual NPI would stay with the HMO and par w medicare?

You know when you call medicare, their recording says any information given to you may change at anytime!? Someone recommended I call 3 times for every question I have becasue I might get 3 differnet answers.

Folks on this listserve have so much combined experience, I am really looking forward to your comments. Thanx-- M.D.

www.elainemd.com

[Guest guest]

I am opening a practice and would like to opt out of

medicare, however I too moonlight. How can I clearly

inform patients that I do not accept medicare.

--- wrote:

> I would love to do away with all the hassles

> of insurance and billing,

> but I dont think it would fly here in Kansas.

> Also, I have alot of

> medicare pts who I dont feel right about sending

> them away.

>

> On 2/1/08, Eads

> wrote:

> >

> > Elaine, you still have time to opt out of

> Medicare. They extended the

> > deadline to Feb 15th because of the last minute

> payment changes.

> >

> >

> >

> > A. Eads, M.D.

> >

> > Pinnacle Family Medicine, PLLC

> >

> > phone fax

> >

> > P.O. Box 7275

> >

> > Woodland Park, CO 80863

> >

> > www.PinnacleFamilyMedicine.com

> <http://www.pinnaclefamilymedicine.com/>

> > ------------------------------

> >

> > *From:*

> [mailto:

> > ] *On Behalf

> Of *

> > *Sent:* Thursday, January 31, 2008 7:22 PM

> > *To:*

> > *Subject:* Can you be both

> non par and par w

> > medicare?

> >

> >

> >

> > When I applied for my NPI, I was rejected. I

> discovered that the HMO that

> > I work for has already applied for me and that I

> am already participating in

> > Medicare/medicaid. If I opt out of medicare (which

> I can only do in nov/dec

> > so I am stuck for this year) I will no longer be

> able to moon light at the

> > HMO.

> >

> > I would like to moon light to earn some income as

> my IMP is just getting

> > started.

> >

> > I was wondering if this is an option- apply for a

> new NPI no. under my

> > corporation and become non par w medicare under my

> group/ corporation. My

> > individual NPI would stay with the HMO and par w

> medicare?

> >

> > You know when you call medicare, their recording

> says any information

> > given to you may change at anytime!? Someone

> recommended I call 3 times for

> > every question I have becasue I might get 3

> differnet answers.

> >

> > Folks on this listserve have so much combined

> experience, I am really

> > looking forward to your comments. Thanx

> >

> > --

> > M.D.

> > www.elainemd.com

> >

> >

> >

>

________________________________________________________________________________\

____

Never miss a thing. Make Yahoo your home page.

http://www.yahoo.com/r/hs

[Guest guest]

Have a form for pts to sign, acknowledging

that they understand you don’t have any relationship with Medicare and

they can’t submit your office visit bill to medicare. Post it on your

website (if/when you get one), tell people when they call to inquire about your

practice. Just because you are not a provider with medicare doesn’t mean

you can’t see them. I have a number of folks I see who have medicare, but

they pay me directly.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Sylvia

Sent: Monday, February 04, 2008

1:36 PM

To:

Subject: Re:

Opting out of MEdicare

I am

opening a practice and would like to opt out of

medicare, however I too moonlight. How can I clearly

inform patients that I do not accept medicare.

--- <edwardsronaldjgmail>

wrote:

> I would love to do away with all the hassles

> of insurance and billing,

> but I dont think it would fly here in Kansas.

> Also, I have alot of

> medicare pts who I dont feel right about sending

> them away.

>

> On 2/1/08, Eads

> <michelle.eadsworldnet (DOT) att.net>

wrote:

> >

> > Elaine, you still have time to opt out of

> Medicare. They extended the

> > deadline to Feb 15th because of the last minute

> payment changes.

> >

> >

> >

> > A. Eads, M.D.

> >

> > Pinnacle Family Medicine, PLLC

> >

> > phone fax

> >

> > P.O. Box

7275

> >

> > Woodland Park, CO 80863

> >

> > www.PinnacleFamilyMedicine.com

> <http://www.pinnaclefamilymedicine.com/>

> > ------------------------------

> >

> > *From:*

> [mailto:

> > ]

*On Behalf

> Of *

> > *Sent:* Thursday, January 31, 2008 7:22 PM

> > *To:*

> > *Subject:* Can you be both

> non par and par w

> > medicare?

> >

> >

> >

> > When I applied for my NPI, I was rejected. I

> discovered that the HMO that

> > I work for has already applied for me and that I

> am already participating in

> > Medicare/medicaid. If I opt out of medicare (which

> I can only do in nov/dec

> > so I am stuck for this year) I will no longer be

> able to moon light at the

> > HMO.

> >

> > I would like to moon light to earn some income as

> my IMP is just getting

> > started.

> >

> > I was wondering if this is an option- apply for a

> new NPI no. under my

> > corporation and become non par w medicare under my

> group/ corporation. My

> > individual NPI would stay with the HMO and par w

> medicare?

> >

> > You know when you call medicare, their recording

> says any information

> > given to you may change at anytime!? Someone

> recommended I call 3 times for

> > every question I have becasue I might get 3

> differnet answers.

> >

> > Folks on this listserve have so much combined

> experience, I am really

> > looking forward to your comments. Thanx

> >

> > --

> > M.D.

> > www.elainemd.com

> >

> >

> >

>

__________________________________________________________

Never miss a thing. Make Yahoo your home page.

http://www.yahoo.com/r/hs

[Guest guest]

Here's what I found out. If you are working for one company and they bill medicare, you have to be participating. You can check their policy or work something else out with them. If you are opting out of medicare in your own practice and need to opt in in your moon lighting, then you need 2 NPI's. I have one individual one and one corporate one ( apply for NPI as a group practice, type 2). If you are not incorporated, I used smallbiz.com to be incorp. It was about $300 or less and straight forward.

I am opening a practice and would like to opt out ofmedicare, however I too moonlight. How can I clearlyinform patients that I do not accept medicare.--- wrote:

> I would love to do away with all the hassles> of insurance and billing,> but I dont think it would fly here in Kansas. > Also, I have alot of> medicare pts who I dont feel right about sending

> them away.> >

> >> > Elaine, you still have time to opt out of> Medicare. They extended the> > deadline to Feb 15th because of the last minute> payment changes.> >> >> >

> > A. Eads, M.D.> >> > Pinnacle Family Medicine, PLLC> >> > phone fax> >> > P.O. Box 7275> >> > Woodland Park, CO 80863

> >> > www.PinnacleFamilyMedicine.com> <http://www.pinnaclefamilymedicine.com/> > > ------------------------------> >> > *From:*

> [mailto:> > ] *On Behalf> Of *

> > *Sent:* Thursday, January 31, 2008 7:22 PM> > *To:*

> > *Subject:* Can you be both> non par and par w> > medicare?> >> >> >> > When I applied for my NPI, I was rejected. I> discovered that the HMO that

> > I work for has already applied for me and that I> am already participating in> > Medicare/medicaid. If I opt out of medicare (which> I can only do in nov/dec> > so I am stuck for this year) I will no longer be

> able to moon light at the> > HMO.> >> > I would like to moon light to earn some income as> my IMP is just getting> > started.> >> > I was wondering if this is an option- apply for a

> new NPI no. under my> > corporation and become non par w medicare under my> group/ corporation. My> > individual NPI would stay with the HMO and par w> medicare?> >> > You know when you call medicare, their recording

> says any information> > given to you may change at anytime!? Someone> recommended I call 3 times for> > every question I have becasue I might get 3> differnet answers.> >

> > Folks on this listserve have so much combined> experience, I am really> > looking forward to your comments. Thanx> >> > --> > M.D.> > www.elainemd.com

> >> > > >> __________________________________________________________Never miss a thing. Make Yahoo your home page. http://www.yahoo.com/r/hs

-- M.D.www.elainemd.com

[Guest guest]

You are right. I was a Participating Provider and had to give more

notice than a NonParticipating.

I've been out for a month and it's a BIG deal but it needed to be done.

One issue I did not consider was the large number of old records that

I would need to get together for patients to change doctors. It can

save time/money if you can find out from the new doctors if they can

receive the chart in electronic form instead of paper.

You'll do well with the ship, I hope you're right handed!

Dan

>

> > I believe that you need to give Medicare a 3 month notice.

> >

> > Dan

> >

> > >

> > >

> > > Going insurance-free August first, 2008 (sent out my letters to

> > cancel all

> > > my insurance contracts yesterday, will file my affidavit with

> > Medicare in

> > > late July to take effect August 1.)

> > > Durango, CO

> > >

> >

> >

> >

>

>

>

> --

>

> Durango, CO

>

[Guest guest]

Thanks Dan.

The ship ride has been rough. I appreciate the advice!

You are right. I was a Participating Provider and had to give morenotice than a NonParticipating.I've been out for a month and it's a BIG deal but it needed to be done. One issue I did not consider was the large number of old records that

I would need to get together for patients to change doctors. It cansave time/money if you can find out from the new doctors if they canreceive the chart in electronic form instead of paper.You'll do well with the ship, I hope you're right handed!

Dan> > > I believe that you need to give Medicare a 3 month notice.> >> > Dan> >> > >> > > > > > Going insurance-free August first, 2008 (sent out my letters to

> > cancel all> > > my insurance contracts yesterday, will file my affidavit with> > Medicare in> > > late July to take effect August 1.)> > > Durango, CO> > >

> >> > > >> > > > -- > > Durango, CO>