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Billing Medicare / Medicaid

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awedding4you:
If a pt has Medicare and Medicaid and the provider of service is not a participant with Medicaid  can we the provider bill the patient for the 20% Medicare doesn't cover.

Michele:
It may differ from state to state, but in NY the answer is no.

Michele

Amit_Nischal:
As i know, in NJ, NY, FL you can not bill pt for the medicare leftover, should be written off. For Maryland state (exception state), can bill pt. for the balance.

Pay_My_Claims:
Its going to cross over from Medicare...then what???

Amit_Nischal:
Charlene,

If medicare crossover happens, still can't bill pt. Provider must have enrollment with medicaid.

Thanks,
Amit

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