What is “Medicare” in medical billing?

Medicare in Medical Billing

Medicare is a federal health insurance program that provides coverage to individuals aged 65 and older, as well as certain younger individuals with disabilities.

Medicare in Medical Billing Explained

In medical billing, providers submit claims to Medicare for services rendered to eligible patients. Medicare is divided into several parts, including Part A (hospital services), Part B (outpatient services), and Part D (prescription drugs), each with its own billing requirements.

For example, a healthcare provider bills Medicare Part B for an outpatient procedure performed on a senior citizen.

Check acronyms and abbreviations in Medical billing glossary.

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