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VERMONT MEDICAID PROVIDER ENROLLMENT & REVALIDATION FORM Medicare Crossover Providers Only Completion of this form is limited to providers who render services to Medicare dual eligible beneficiaries.
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Medicare crossover providers only refers to healthcare providers who agree to accept the Medicare-approved amount as full payment for services rendered to Medicare patients. They do not bill the patients for any additional amounts.
Healthcare providers who participate in the Medicare program and choose to accept the Medicare-approved amount as full payment for services are required to file as medicare crossover providers only.
Healthcare providers can fill out the medicare crossover providers only form provided by Medicare, which includes information on the services provided, the Medicare-approved amount, and any applicable billing codes.
The purpose of medicare crossover providers only is to ensure that healthcare providers do not overcharge Medicare patients and comply with the billing guidelines set by Medicare.
Healthcare providers must report the services provided, the Medicare-approved amount, and any applicable billing codes on the medicare crossover providers only form.
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