Practices that stay on top of Medicare billing come out ahead. 

In this episode of the OneSpot Insurance Billing podcast, Cindy Braden welcomes back Casey Squicquero, a 17-year veteran of optometry billing, for round two of their Medicare deep dive. Casey walks through the free tools, tricky rules, and practical habits that separate a smooth Medicare claim from a denied one. Here’s what we cover in the episode:

• Tools to help navigate Medicare billing — a walkthrough of the free CMS resources every biller should bookmark.
• QMB (Qualified Medicare Beneficiaries) — what QMB status means for your practice, even if you don’t accept Medicaid.
• Additional tips to help — practical strategies for cutting down denials and getting claims paid right the first time.

Resources Mentioned in the Episode

Medicare Coverage Database: https://www.cms.gov/medicare-coverage-database/search.aspx

Medically Unlikely Edits (MUE): https://cgsmedicare.com/medicare_dynamic/j15/partb/mue/mue_tool.aspx

Physician Fee Schedules: https://www.cms.gov/medicare/physician-fee-schedule/search

NCCI Procedure to Procedure look up tool: https://cgsmedicare.com/medicare_dynamic/j15/partb/ptpb/ptp.aspx

Information on QMB: https://www.cms.gov/medicare/medicaid-coordination/about/qualified-medicare-beneficiary-program

OneSpot Billing Resources

Watch a preview of our OneSpot Billing Tool on your own time: https://www.onespotbilling.com/2025-preview-video-onespot-billing-tool 

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If you’re ready to talk about how OneSpot Billing can optimize your billing process, reach out here: https://outlook.office365.com/book/[email protected]/