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(02) Getting Started - Prohibition on Balance Billing QMBs


This article was revised on August 28, 2012, to clarify the section of the Social Security Act that prohibits Medicare providers from balance billing Qualified Medicare Beneficiaries for Medicare cost-sharing (page 2- bold).  This article was previously updated on July 25, 2012, to reflect current Web addresses. All other content remains the same. 

Primary Toolkit:

Billing for Clinical Services

Keyword Area:

Billing, Immunization


Institutional Author:

Medical Learning Network/CMS





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.