Lexology March 21, 2024
The Medicare program is broken down into four parts. Part A covers the cost of healthcare items and services provided during inpatient hospital stays as well as skilled nursing facility, hospice, and some home health care. Part B covers certain physician services, outpatient care, medical supplies, and preventive services. Together, Parts A and B are commonly referred to as traditional Medicare or fee-for-service (FFS) because claims for each item or service are submitted to the Centers for Medicare & Medicaid Services (CMS) for reimbursement through its Medicare Administrative Contractors.
Conversely, Part C (also referred to as Medicare Advantage (MA)), offers Part A and Part B coverage delivered through private insurers, known as MA plans or Medicare Advantage Organizations (MAOs). Part...
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