Mr. Donaldson, a patient at New Hope Clinic where you work was in a couple of days ago for a service. Today, Mr. Donaldson, called stating his Medicare Claim was denied because as of two weeks ago he is no longer entitled to Medicare benefits.
- How would you handle this call?
- Would it be wrong to adjust Mr. Donaldson's date of service so that Medicare would pay the claim?
- If so, why? If not, why not?
What can happen to the clinic if they adjust the date of service?