Which of the following statements is true about Medicare claims processing?

Question

Quizplus · Accepted Answer

The allowable payment to nonparticipating providers is indeed less than the allowable payment to participating providers. This is because participating providers agree to accept the Medicare-approved amount as full payment for covered services, while nonparticipating providers can charge up to 15% over the Medicare-approved amount for non-assigned claims, but their Medicare reimbursement is typically 5% less than that of participating providers.

Which of the Following Statements Is True About Medicare Claims