Is Your Client "Medicare Eligible" ?

The first issue you have to address pursuant to the Medicare regulations is whether your client is " medicare eligible", not Medicare Approved. Those who are medicare eligible include:
1. Individuals who are 65 and over,
2. People of any age who have kidney failure or long term kidney disease and
3. People who are permanently disabled and cannot work.
As soon as you start a case for a client who you believe to be "medicare eligible", you should promptly contact "The Coordination of Benefits Program " by calling 800-999-1118 and by pressing the number 4 to report a claim. You can also write to them: (Fax) 734-957-9598.
This will then start the process towards receiving a Medicare Accknowledgment letter and then a letter with " Rights and Responsibilities. Automatically, within 65 days thereafter, you will receive a Conditional Payment Letter.
Sounds confusing? Well it sure is. But these few steps will help get you going in the right direction.