How to Bill Medicare for Non-Covered Services

Often, the consent must include an estimate of the charges for the service and the provider’s reason for believing the services will not be covered by the patient’s insurance provider. The content of the patient consent form can vary by payer. Therefore, it is recommended that you confirm the applicable payer’s consent requirements prior to rendering services. Failure to obtain proper patient consent for non-covered services can result in termination of your right to bill the patient for such services and could be considered a breach of the applicable payer agreement.

Steven M. Harris, Esq., is a nationally recognized healthcare attorney and a member of the law firm McDonald Hopkins LLC. Contact him via email at sharris@mcdonaldhopkins.com.