Medicare final rule that Specialist Servies are Excluded From Medicare
Dentists and other health care providers ordering particular Medicare-covered items or services for Medicare beneficiaries will be required to enroll in the government insurance program under a final rule issued June 26, 2012 by the Department of Health and Human Services.
However, dentist referrals to specialists are not covered by the rule, and referral to a specialist would not require the referring dentist to enroll in Medicare. The specialist could submit a Medicare claim without having to list the referring dentist.
