CMS rules and family ties – Ophthalmology Management
We all know that Medicare prohibits charging for services to immediate family members, but the big, recurring question that we receive is: what does this really entail?
This article addresses the following questions:
- Why doesn’t Medicare allow claims for services to family members?
- What are the excluded relationships?
- How does Medicare define “immediate relative”?
- Who does CMS consider to be members of a household?
- Does the exclusion apply to other providers in the practice?
- What about corporations?
- What about Medicare Advantage (Part C) plans?
This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below: