Notice to Patients: Reassignment of Medicare Benefits

What is Reassignment of Benefits?
Under Medicare, you have two options for how your claims are reimbursed: Assignment and Nonassignment. When we accept “Assignment,” it means Medicare will pay us directly for your covered services. This notice outlines what that means for you and us.

Why is This Important?
Direct Payment: If we accept assignment, Medicare pays us directly, simplifying the billing process for you.
Costs: You may be responsible for 20% coinsurance, any unmet deductible, and costs for services not covered by Medicare.
Legal Agreement: Accepting assignment creates a legal agreement between you and Auto-Ness Physical Therapy, which we both must honor.

What You Need to Know:
Coinsurance: The 20% coinsurance is calculated based on Medicare’s approved amount, not the total bill.
Private Insurance: Your private insurance may cover the 20% coinsurance and any unmet deductible.
Non-Covered Services: We can bill you for services not covered by Medicare, even if assignment is accepted.

Your Responsibilities:
If you’ve paid more than Medicare’s approved amount, we will refund the difference.
You may be billed for the 20% coinsurance and any unmet deductible.

Our Responsibilities:
We must accept Medicare’s approved amount as full payment for covered services.
We cannot charge you for paperwork related to filing the claim.

Legal Consequences:
Violating the assignment agreement can result in fines and exclusion from Medicare for up to five years.

Final Note:
Once assignment is accepted and the claim is processed, it cannot be canceled. This applies to all future adjustments and appeals related to the claim.