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News Flash - Medicare Fee-For-Service (FFS) Contingency Plan Announced

News Flash - Medicare Fee-For-Service (FFS) Contingency Plan Announced 2025

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The document announces a Medicare Fee-For-Service (FFS) contingency plan effective May 23, 2007, regarding the implementation of the National Provider Identifier (NPI). It states that claims submitted without an NPI for primary providers will be rejected after a sufficient number of claims with NPIs are received. The document also outlines procedures for submitting claims on behalf of deceased providers who did not obtain an NPI, emphasizing the need for representatives to submit claims on paper and notify Medicare of the provider's death.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Medicare fee-for-service or value based?

Medicare continues to reimburse health systems on an FFS basis; then, at the end of the year, shared savings bonuses are calculated. Medicare benchmarks each provider against the rate of increase for the overall FFS population. If a hospital did better than the FFS population, they get a piece of the savings.

Does Medicare use a fee-for-service?

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.

What is a fee-for-service plan Medicare?

Whats a PFFS? A PFFS is a type of Medicare Advantage Plan. PFFS plans arent the same as Original Medicare or Medigap. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.

Is Medicare a fee for service program?

Original Medicare A fee-for-service health insurance program that has 2 parts: Part A and Part B. You typically pay a portion of the costs for covered services as you get them. Under Original Medicare, you dont have coverage through a Medicare Advantage Plan or another type of Medicare health plan.