Thursday, May 19, 2022

Re: Retail


I have not received other responses than four asking for my responses to be posted. Private insurances would fall under contracts that I mentioned. I received my information 6 years ago from Leah Bunch who at the time was a Medicare field agent. That is why I have made it policy over the years, but in todays environment it is no longer feasible. Hence my request for information.

Carey Jinright, LO, ATP, MSM
Cross & 3

On Jun 21, 2012, at 10:13 AM, “Jeff Boonstra” wrote:

> I don’t think this is right Carey because many private insurance companies
> pay less than Medicare. Please let me know what you hear back on this, but
> no I don’t think that is correct. You can charge what you want, you just
> have to be able to justify why you are doing it…cash pay obviously would
> deserve a discount.
> I am in that situation right now myself.
> Jeff Boonstra CP
> —–Original Message—–
> From: Orthotics and Prosthetics List [mailto:[email protected]] On
> Behalf Of Carey
> Sent: Tuesday, June 19, 2012 8:21 PM
> To: [email protected]
> Subject: [OANDP-L] Retail
> Guys,
> I would like to know of your strategies. It is my understanding that if you
> are a Medicare provider you cannot charge anyone less than you charge
> Medicare. Unless it is a contracted agreement with another entity. Am I
> understanding this correctly? So, if a patient brings cash in your door, you
> have to charge the Medicare allowable, right?
> Carey Jinright, LO, ATP, MSM
> Cross & 3
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