Prohibition on Balance Billing QMB Patients

CMS issues clarification on balance billing prohibition

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Despite federal law, erroneous balance billing of QMB individuals persists.  Many beneficiaries are unaware of the billing restrictions (or concerned about undermining provider relationships) and simply pay the cost-sharing amounts.  CMS recently published an article update to remind providers that they may not bill QMB individuals for any cost-sharing amounts.

See the full article here https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1128.pdf