Opting out of Medicare

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Thank you. Once they have you, it's hard to break free. wrote: 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. On 2/4/08, Sylvia <swwaterfront1br> wrote: 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.--- <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 -- M.D.www.elainemd.com

Never miss a thing. Make Yahoo your homepage.

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Remember the guy who cut off his arm when he got pinned by a boulder in Utah?

http://www.cbsnews.com/stories/2003/05/08/national/main552994.shtml?CMP=ILC-SearchStories

It's just like that. Amputate or die.

I believe that you need to give Medicare a 3 month notice.Dan> > > Going insurance-free August first, 2008 (sent out my letters tocancel all> my insurance contracts yesterday, will file my affidavit withMedicare in> late July to take effect August 1.)> Durango, CO> -- Durango, CO

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Does any one know the details or where to look for specifics of the rules behind opting out of Medicare and then having to file an affidavit every 2 years? What happens if a physician does not file the affidavit at 2 years? It is my understanding that you are " opted back in " if you do not file the affidavit.

When exactly do we as physicians become irreversibly tied to Medicare? Was it when we received our M.D. degrees? Is this linked to our licensure? Our DEA number? I really do not get it.

When I retire, do I need to continue to file affidavits? Is this " law " tied to billing anyone for medical care? Where does it end and where are these rules located?

I really am confused as to the legality of this requirement.

Thanks in advance.

Durango, CO

Transition week #3 from traditional-take-all-insurance-companies to ending all insurance contracts and opting out of Medicare August 1. I am tired, but so far so good. Looks like about 50/50 split so far in patients leaving my practice verses signing up. If it keeps going this way, it will be perfect. I really do only want 600 patients, not my current 1200. Could meet current overhead with 400. Lots of interest from other family physicians in town. Specialists very supportive so far. Patients seem to understand after I explain my reasoning and patient care driven model.