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Dr joshua downie4/12/2023 Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.Ī provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Yes "What does it mean "accepts medicare assignment"? Providers must enroll in PECOS to avoid denied claims. A NPI number is necessary to register in PECOS. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $18.4 for an established patient copayment. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. According to Medicare claims data he has hospital affiliations with Northside Hospital and Northside Hospital Forsyth. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Joshua Downie is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices. Joshua Downie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is registered as an individual and his NPI record was last updated 4 years ago. The practitioner's primary taxonomy code is 207Y00000X with license number 65763 (GA). The NPI number of Joshua Downie is 1528215340 and was assigned on August 2008. He graduated from University Of South Carolina School Of Medicine in 2006. Joshua Downie is a provider established in Atlanta, Georgia and his medical specialization is otolaryngology with more than 17 years of experience. NPI 1528215340 Individual Male Years of Experience 17 Otolaryngology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 96.9 NPI Profile for DR.
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