Medicare Participation Options

13 Nov 2014 2:47 PM | Penny Fioravante (Administrator)

As part of the AOA's ongoing efforts to educate and help our members make the best decisions about their practice, we are providing the following information regarding physician Medicare participation options. Physicians have until December 31 to change their participation status for calendar year 2015. They may choose from the following three options:

1. Medicare Participating Physician (PAR) 
2. Medicare Non-Participating Physician (non-PAR)
3.
Private Contracting

The AOA hopes that Congress and the Administration will take the necessary steps to prevent the 21.2 percent payment cut which is scheduled to take place on April 1, 2015. Congress must ensure that our nation’s seniors, disabled, and military families have access to physician services. The AOA, through our Government Relations, continues to advocate repealing the Sustainable Growth Rate formula and replacing it with a payment formula that compensates physicians in a fair and equitable manner for their services. The AOA is deploying all available resources to protect your ability to provide quality health care to your patients. You too canTAKE ACTION.

In addition, to help you evaluate your participation status in Medicare, the AOA is providing information designed to clearly articulate options available to you. Participation decisions involve binding legal documents and all members are strongly encouraged to consult with your own legal advisors and consultants prior to making a decision on these matters. Our goal is to provide you with the necessary information, thus enabling you to make an informed decision.

Remember, each physician electing to change his/her status from PAR to Non-PAR or vice versa is required to do so on or before December 31. To become a private contractor, a physician must give 30 days' notice before the first day of the quarter the contract takes effect. For additional information, contact the AOA’s Department of Government Relations at (800) 962-9008 or (202) 414-0140. You may also send an email to: govt-rel@osteopathic.org



400 North Lee Street
Lewisburg, WV 24901
Phone 304-793-6842 | Toll Free 800-356-7836 ext. 6842 | Fax 304-647-6211
Penny Fioravante, Executive Director  penny@wvoma.org

 
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