What is the difference between a participating and non-participating provider?
“A Medicare participating provider is one who enters into an agreement to accept Medicare assignment for all covered services provided to all patients who have Medicare coverage. This provider also agrees to accept Medicare Part B’s total amount as payment in full with the exception of deductible and coinsurance. Checks are sent directly to the provider or the group reassignment. A “”non-participating provider”” is one who chooses not to enter into a participating provider agreement to accept Medicare assignment for all covered services provided to all Medicare patients. This status receives a 5 % reduction in payments.
