Be sure to check for an ABN(advanced beneficiary notice)/waiver--this is a standard written notice from Medicare given to you before receiving certain services, that they will not pay and your are responsible.
When I was working, these would automatically highlight a warning when the order was placed in EPIC-electronic medical. If we didnt have the client sign the form, we could not bill or collect money from them.
You are no longer in a savings mode.
You are now in a slow spend down mode.