{"id":7085,"date":"2021-10-26T12:03:42","date_gmt":"2021-10-26T16:03:42","guid":{"rendered":"https:\/\/themcanallysellingsystem.com\/?p=7085"},"modified":"2023-05-24T11:45:12","modified_gmt":"2023-05-24T15:45:12","slug":"how-to-get-full-medicare-fee","status":"publish","type":"post","link":"https:\/\/themcanallysellingsystem.com\/how-to-get-full-medicare-fee\/","title":{"rendered":"Imagine: Getting Full Fee While Medicare Covers 25-50% of That Fee for Your Patient"},"content":{"rendered":"
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\"medicareRight now,\u00a0there is a 99% chance AGAINST<\/i><\/u><\/b>\u00a0there being another practice, within your driving distance market area, that is capable of getting Original Part B Medicare patients a 25-50% treatment subsidy (up to $12,500) for their oral surgery\/implant care.<\/p>\n

The Ideal Scenario<\/h2>\n

If having the ability to reduce out of pocket full mouth treatment cost for these patients by a minimum<\/i><\/u>\u00a0of $8,000 was predictable for your practice,\u00a0IMAGINE<\/u><\/b>….<\/p>\n

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  1. Getting your full AOX case fee<\/u><\/strong>\u00a0(Medicare payment + patient out of pocket non-covered treatment portion) for a qualified Medicare original Part B patient while your patient gets 20-25% paid of their total case fee by Medicare and sings your praises. If they happen to be a removable on implant case, you would still get your full case fee while the patient’s Medicare portion would now offset treatment costs by close to 50% greatly reducing out of pocket costs.<\/li>\n
  2. The advertising and sales advantage<\/strong> you would have over others around you who cannot match this claim payment from these patients as they aren’t billing. Additionally, they would NOT be able to simply discount their total full mouth case fee by $8K to match the Medicare subsidy patients have with you as the math simply doesn’t work.<\/li>\n
  3. The additional patients<\/strong> that you would help courtesy of Medicare picking up 25-50% of your total case fee…this claim payment for some patients really is what makes treatment affordable and shows you are a provider committed to the betterment of our citizenry.<\/li>\n
  4. The additional conversations<\/strong> about life changing dental implant procedures such as AOX you would be allowed to have over others in your market area…<\/li>\n<\/ol>\n

    Our Full Arch Advertising Program<\/a> includes an optional Medicare Medical Necessity Billing component for those implant clinicians who want to leverage this oral surgery medical benefit necessity benefit for patients in their market while still getting their full implant case fees. Again, the non-covered dental services (restorations) are still an out of pocket expense.<\/p>\n

    It works best for practices treating the case comprehensively in ONE LOCATION and who perform surgical bone grafting treconstructive procedures.<\/i><\/b>\u00a0If you fit these two criteria, why not at least investigate how many of these implant patients are within driving distance of your practice?<\/p>\n

    Barriers To Success<\/h2>\n

    There are major barriers to competitors ‘cracking the Medicare code’ since there are many separate components ALL mandatory for long term billing success.<\/p>\n

    Things such as:<\/i><\/b><\/p>\n