My Dietitian Journey Podcast

All about Medicare - credentialing, billing, coverage

Episode Summary

Felicia and Adam discuss the ins and outs of working with patients on a Medicare plan.

Episode Notes

What’s Medicare: https://www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices/whats-medicare

 Medicare Advantage: https://www.cms.gov/files/document/mln8659122-original-medicare-vs-medicare-advantage.pdf 

Search for Medicare Plans: https://www.medicare.gov/plan-compare/#/?year=2023&lang=en#/ 

Fee Schedule: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/FeeLookup 

Sequestration Information: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00106360 

LINK for PECOS: https://pecos.cms.hhs.gov/pecos/login.do#headingLv1 

LINK for NPPES: https://nppes.cms.hhs.gov/#/ 

LINK for PECOS Checklist: https://pecos.cms.hhs.gov/pecos/help-main/spchecklist.jsp 

Information about Opting Out of Medicare: https://www.cms.gov/medicare/provider-enrollment-and-certification/become-a-medicare-provider-or-supplier 

Medicare Fee-for-Service Provider Enrollment Contact List: https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/downloads/contact_list.pdf 

Links for information about enrollment and contacts for questions. 

Novitas-Solutions for PA https://www.novitas-solutions.com/webcenter/portal/MedicareJL 

Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Enrollment Example: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/Downloads/PECOSWebScreenExample.pdf 

NCD MNT: https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=252 2023 ICD-10: https://www.cms.gov/medicare/icd-10/2023-icd-10-cm 

Telehealth Modifiers: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00144501 

Telehealth Code Look-up: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes 

PA Fee Look-up: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/FeeLookup 

ABN Modifiers: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00144508 

Information on Medicare Coverage: https://www.medicare.gov/sites/default/files/2021-10/02179-Medicare-and-other-health-benefits-your-guide-to-who-pays-first.pdf 

Advance beneficiary notice of non-coverage: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00108636 

Advance Beneficiary Notice of Non-coverage Modifiers Fact Sheet: https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00144507

Medicare Advance Written Notices of Non-coverage: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/abn_booklet_icn006266.pdf 

-------------------------------------------------------------- 

● https://porrazzanutrition.com 
● https://www.facebook.com/MyDietitianJourney 
● https://www.instagram.com/mydietitianjourney/ 
● https://mydietitianjourney.wordpress.com/

 -------------------------------------------------------------- 

 

Felicia Porrazza is a registered and licensed dietitian with a masters degree in dietetics administration, an ACSM certified personal trainer, National Board Certified Health & Wellness Coach, college nutrition faculty instructor, and owner of Porrazza Nutrition LLC and My Dietitian Journey. In her private practice, she works one-on-one with clients to help them develop an understanding of healthy eating and fitness. She specializes in combining plant-based eating with fitness programs, specifically targeting beginner strength-training. Felicia has been a mentor to Dietitians starting their own private practice and a dietetic internship preceptor for Dietetic students. 

Disclaimer: Information provided is not intended to constitute legal or medical advice. All information is for general educational purposes only.