Medical Billing Forum

Billing => Billing => Topic started by: Anand on September 16, 2014, 07:55:14 AM

Title: Cross over
Post by: Anand on September 16, 2014, 07:55:14 AM
Medicare does cross over claims to CCAH but nothing gets reached -- however there was corres from Nordian which states agreement is not set for this pt's Medicaid program;cross over acceptance not possible-- any help would be appreciated.
Title: Re: Cross over
Post by: rdmoore2003 on September 16, 2014, 08:46:27 AM
sounds as if you will have to submit the crossover claim yourself.     
Title: Re: Cross over
Post by: PMRNC on September 16, 2014, 11:53:40 AM
Many times the patient has to setup the cross over.. Have patient contact Medicare. I run across this all the time with a client who sees patients in nursing home, many of the times the cross over has not been established and that has to be done by the patient or their designated POA
Title: Re: Cross over
Post by: DMK on September 16, 2014, 01:14:24 PM
It's usually noted on the EOB if a secondary crossover has been set up.  If there's no secondary noted, and you know the patient has a secondary, you'll have to submit it yourself.