MEC Practice Academy 11.19
|Articles|March 10, 2011

Multi-site Medicare participation

Medicare permits participation by practice site so that you can participate and accept Medicare 100% of the time at one location and not another.

Q: I am an employee at a medical center that accepts all insurances, including Medicaid and Medicare. Could I still work in my own medical detoxification clinic that does not accept any insurance and only self-pay patients?

A: Medicare permits participation by practice site so that you can participate and accept Medicare 100% of the time at one location and not another. Nothing requires any physician to take Medicare at a different location or even to see Medicare patients. Medicaid, on the other hand, is only partially controlled by federal law, and the rest is determined by state law. Some states require that if you participate in Medicaid as a physician, you must participate at any location. To determine the answer, consult your state Medicaid participation rules.


Related to this article

Sethu Reddy: ©Sethu Reddy
Prior authorization, step therapy and shifting coverage rules keep patients from obesity drugs with proven benefits, an endocrinologist argues — and the long-term savings make the case for broader access.
Is more health care access always better?: ©Yodiyim - stock.adobe.com
In 590,282 California heart attack hospitalizations, a new PCI-capable facility within a 30-minute drive lowered 30-day mortality 20% in communities without prior access but did not change survival where the procedure was already available.