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Medicare Billing

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Michele:
If you use OA for only Medicare then yes, you would have the $19.95 a month fee, and if you are only submitting a few claims a month that wouldn't be feasible.  Did you look at the PC-ACE Pro software that is free from Medicare?

TurningPoint:
Michele,

We use/used PC Ace to process our few Medicaid claims (No MCO) and we have had so many "detail" problems getting claims processed that I was using it as a last resort.

I spoke with a Customer Service rep with Office Ally and she stated that if we submit 10 or less claims per month regardless if they are G/NP or not that we will not be charged the $19.95 fee.

I am hoping this representative is correct.

Michele:
Actually I believe that may be correct.  I haven't personally experienced that but I heard someone else say that as well.

Shawn:
Michele, and "Turning Point", yes that rep is correct. I have a client who has typically been seeing 10 or fewer Medicare pts. per month since I started doing her billing in 2014. The rest of her practice is cash-pay, so 100% of her claims submitted through O.A. are Medicare. There is no monthly fee in this case. For the occasional month when she saw more than 10 MC pts., I just carried over those DOS to the following month, since the number of DOS per claim doesn't matter.

However, you do have to be careful about resubmitting a "Fixed" claim within the same calendar month, as that counts toward the allowed 10 "freebees." Also if you're submitting to Medicare as the secondary payer, same deal.

It has happened to me just a few times when I wasn't keeping careful track. Just the cost of doing business, it is a tax write-off after all.  ;)

Michele:
Good to know!  Thanks for sharing.  :)

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