Understanding the Medicare Fee Schedule: A Guide to Locality Rates
Medicare is a federally funded and operated health insurance program for the elderly and disabled individuals with a sufficient work history. Reimbursement rates for Medicare services vary, depending on the type of service and geographic location. A fee schedule is used to determine the reimbursement rates for Medicare providers.
Instructions
Gather information regarding the type of service, licenses held by the service provider and the zip code of the office that provided the medical service.
Review the fee schedule documents available on the Centers for Medicare &Medicaid Services website to obtain the reimbursement rates, given the information from step 1.
Contact Medicare at 800-MEDICARE if you are unable to locate the reimbursement rate for your type of service in your specific location. Medicare staff can provide you with this information via phone.
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