Does the physician have to be a PAR (provider participating in Medicare) physician to participate in CAP?
Physicians must be enrolled as a provider with Medicare. However, both PAR and non-PAR physicians may elect to participate in CAP. If non-participating, physicians accept assignment on a case-by-case basis to participate in CAP. By accepting assignment on a case-by-case basis, non-participating physicians agree to accept the allowable Medicare payment amount subject to the 5% reduction for non-participating physicians and not to bill the patient, other than for the deductible and other cost sharing.
Related Questions
- What is the Medicare Unique Physician Identification Number (UPIN), how does a physician/provider get one, and when is a UPIN required?
- Does the physician have to be a PAR (provider participating in Medicare) physician to participate in CAP?
- Why should a physician or other provider participate in the Care Card program?
