PMHNPs & Private Practice Providers: Before You Accept Private Pay from a Medicare Patient

Описание: 🚨 PMHNPs & Private Practice Providers: Before You Accept Private Pay from a Medicare Patient — Know This Rule.

Many psychiatric providers don’t realize that being unenrolled in Medicare does NOT automatically allow you to charge Medicare beneficiaries privately.
A provider can only legally collect out-of-pocket payment from a Medicare patient if they have:

✅ Formally opted out of Medicare
✅ Submitted an opt-out affidavit to their Medicare Administrative Contractor (MAC)
✅ Signed a compliant private contract with the patient

If a provider has not opted out, Medicare regulations require that covered services be billed to Medicare — and providers cannot bill Medicare unless they are enrolled.

As PMHNPs, we are recognized Medicare Part B providers, which makes understanding this process essential for compliant private practice.

In this short educational video, I cover:
🔹 Why opting out matters for private pay practices
🔹 Key compliance rules providers often miss
🔹 Quick-action resources to help you get started
🔹 How to locate your state contractor and submission address

🎥 Watch the video below.
➡️ In my next video, I’ll walk step-by-step through CMS.gov to show exactly how to find your Medicare contractor, required forms, and submission details.
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