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Tag: allowed amount


Rose Schafhauser

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New law complicates non-assigned claims in Nebraska, possibly elsewhere 

September 11, 2024Liz Beaulieu, Editor

LINCOLN, Neb. – HME providers in Nebraska must change how they handle Medicare non-assigned claims, after Mutual of Omaha, a supplemental insurer, and the Nebraska Insurance Federation successfully lobbied the state legislature to limit how much they charge over the allowed amount.  A new law that went into effect in July states that nonparticipating Medicare providers can’t “balance bill” a beneficiary in Nebraska for any DMEPOS unless the beneficiary (1) agrees in...

allowed amount, Cap, Non-Assigned, supplemental insurance


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