what is medicare limiting charge
Medicare establishes a limiting charge for each service and providers receive a listing of the limiting charges with the fee schedule amounts published each year. The Medicare fee schedule amount is what Medicare allows for services provided to Medicare patients.he limiting charge is 115 percent of the Medicare fee schedule amount for non-participants. On a non-assigned claim, the provider may not bill and collect from anyone (including Medigap and supplemental insurance) an amount over the limiting charge, regardless of who is responsible for payment.