Frequently Asked Questions

  ADA/508 friendly site



FAQ

By Topic: Medicare - Fee-for-Service / Shared Savings Program


I am a physician who just graduated from residency.  I just started a primary care practice, have beco...
As a newly enrolled Medicare physician practice that bills Medicare directly for... (more)

When an Accountable Care Organization (ACO) applies for participation in the Medicare Shared Savings Progra...
Yes.  As part of its application, the ACO must certify that the ACO, its... (more)

I am an individual practitioner and have a solo practice.  May I form an Accountable Care Organization...
No.  The Shared Savings Program is designed to provide an incentive for ind... (more)

I (we) meet the definition of an Accountable Care Organization (ACO) participant, however, I (we) do not bi...
Any Medicare-enrolled provider or supplier that bills Medica... (more)

How is a benchmark determined for the Accountable Care Organization (ACO)?
  The benchmark for the ACO is calculated based on the per capit... (more)

We are a large group practice that meets the definition of an Accountable Care Organization (ACO) participa...
No.  When an ACO participant agrees to participate in the Shared Savings Pr... (more)

I (we) want to participate in an ACO.  How do I find out about Accountable Care Organizations (ACOs) f...
We recommend that you contact other potential ACO participants in your region or... (more)

We are a non-Medicare-enrolled entity.  Can we form or participate in a Shared Savings Program Account...
The Shared Savings Program is designed to provide an incentive to Medicare-enrol... (more)

We are a small group practice.  May we form an Accountable Care Organization (ACO)? 
We believe it would be difficult for a small group practice to meet the requirem... (more)