Busting Payment Myths Part 7: Medicare Status and Medicare Advantage

We've received a lot of questions recently regarding what it means to be a nonparticipating provider under Original Medicare — particularly when it comes to how that status affects billing under Medicare Advantage. Here's our insight into becoming a nonparticipating provider and what it means in the Medicare Advantage program.

Join APTA to get unlimited access to content.

Create a free account Log in

You Might Also Like...

Article

CMS Finalizes Fee Schedule Pay Bump for the First Time in 5 Years

Nov 18, 2025

The U.S. Centers for Medicare & Medicaid Services finalized a 3.26% increase to the conversion factor in the final Medicare Part B Physician Fee Schedule

News

Government Shutdown Ended: Telehealth Flexibilities Extended Until Jan. 30, 2026

Nov 17, 2025

On Nov. 12, the longest shutdown in U.S. history ended after both the Senate and House of Representatives passed a temporary spending bill that the president

Article

Takeaways From the Proposed 2026 Medicare Physician Fee Schedule, Part 2

Aug 15, 2025

Fact Sheet: Quality Payment Program Proposals The U.S. Centers for Medicare & Medicaid Services has released the proposed 2026 Medicare Part B Physician

Busting Payment Myths Part 7: 'Participating' vs. 'Nonparticipating' Medicare Status and Medicare Advantage

You Might Also Like...