Author Topic: GA Medicaid Reason code 0984  (Read 1413 times)

HPATEL

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GA Medicaid Reason code 0984
« on: April 05, 2018, 01:24:44 PM »
I have a question how do we tackle denial code 0984 for Medicare crossover claim to Medicaid?

The denial claim states that Medicare Co-insurance more than 20 percent medicare allowed amount.

ex.
Medicare allowed $133.84. Medicare paid $103.88 after seq. reduction and all other.. 20% coninsurance is crossover to medicaid which is $26.77.

Michele

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Re: GA Medicaid Reason code 0984
« Reply #1 on: April 06, 2018, 10:22:04 AM »
In NY and many other states Medicaid does not cover the 20% coinsurance.  It is denied with a similar reason. What state is it for?  Is it possible Medicaid doesn't pay?
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HPATEL

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Re: GA Medicaid Reason code 0984
« Reply #2 on: April 06, 2018, 12:32:54 PM »
Georgia..

Medicare just changed their contractor to Palmetto GBA from CAHABA GBA.

Medicaid is denying claims this year. The reason is Medicare co-insurance is more than 20%. I don't know whom to contact. Because all the Medicare coinsurance which was crossover to medicaid, they are higher than 0.01 only. I don't understand. 

PMRNC

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Re: GA Medicaid Reason code 0984
« Reply #3 on: April 06, 2018, 02:41:00 PM »
I agree with Michele, your probably not going to get any payment from Medicaid and cannot bill the insured.
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Re: GA Medicaid Reason code 0984
« Reply #3 on: April 06, 2018, 02:41:00 PM »