Did you know that billing Qualified Medicare Beneficiary (QMB) patients incorrectly is a federal violation? Many healthcare providers unknowingly bill QMB patients for Medicare cost-sharing, putting their organizations at risk for compliance violations, audits, and even sanctions.In this episode, I break down everything you need to know about QMB—who qualifies, what providers can and can’t bill, and how to avoid the most common (and costly) mistakes.What You’ll Learn:✔️ What the Qualified Medicare Beneficiary (QMB) program is and who qualifies✔️ Why QMB patients cannot be billed for Medicare-covered services✔️ How to verify QMB eligibility before billing✔️ The biggest compliance mistakes providers make (and how to avoid them)✔️ What to do when Medicaid doesn’t pay the balance✔️ How to handle non-covered services and ABNs for QMB patientsIf you work in medical billing, coding, revenue cycle, or healthcare administration, you need to understand QMB rules to stay compliant and protect your organization from unnecessary risk.Prohibition on Billing Qualified Medicare BeneficiariesMore CMS information on the QMB Program 🎓 Want to strengthen your healthcare insurance knowledge? Enroll in my course Introduction to Healthcare Insurance to gain a solid foundation in Medicare, Medicaid, and payer rules.📌 Join the Revenue Cycle Boot Camp Facebook GroupHave you ever had a QMB billing issue? Drop a comment below—I’d love to hear your experience!#RevenueCycle #MedicalBilling #QMB #MedicareMedicaid #HealthcareFinance #RCM #HealthcareBilling #MedicareBilling #DenialManagement #HealthcareCompliance