Author Topic: medicaid billing agent number  (Read 8201 times)

gderilus

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medicaid billing agent number
« on: April 04, 2010, 12:35:21 PM »
I have a medical billing business,Do I need to have a medicaid billing agent provider number in order to send claims or the provider can notify medicaid.Do I need to apply with medicaid as a billing agent or the provider has to add me to his application.

Pay_My_Claims

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Re: medicaid billing agent number
« Reply #1 on: April 04, 2010, 03:33:28 PM »
NOT sure what you are speaking of exactly, but there is no "billing #" in NC. you do have to be enrolled to bill NC medicaid with an edi application or an application to use webclaims. However you submit with the providers user id/pw

Michele

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Re: medicaid billing agent number
« Reply #2 on: April 04, 2010, 09:01:01 PM »
In NY, you must enroll to get a "Medicaid number" issued.  Each state varies.  You will have to check with your state Medicaid.

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Pay_My_Claims

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Re: medicaid billing agent number
« Reply #3 on: April 05, 2010, 05:24:39 PM »
In NY, you must enroll to get a "Medicaid number" issued.  Each state varies.  You will have to check with your state Medicaid.

Michele


is that for the billing agent, or for the provider??

Michele

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Re: medicaid billing agent number
« Reply #4 on: April 05, 2010, 08:24:57 PM »
As a billing service we had to enroll and get assigned a medicaid number.

Michele
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PMRNC

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Re: medicaid billing agent number
« Reply #5 on: April 05, 2010, 08:56:44 PM »
Yeah in NY we have to have our own number, same with PA, but PA Medicaid WAS much easier to deal with ..they were actually awesome!
Linda Walker
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blhoffman

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Re: medicaid billing agent number
« Reply #6 on: April 05, 2010, 09:29:55 PM »
I have to agree, PA Medicaid really tries to work with you and solve whatever problem you have ASAP. Wish that was the same for some commercial insurance plans.  :P

Pay_My_Claims

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Re: medicaid billing agent number
« Reply #7 on: April 05, 2010, 09:47:42 PM »
Yeah in NY we have to have our own number, same with PA, but PA Medicaid WAS much easier to deal with ..they were actually awesome!


You have to have a medicaid provider number as a billing agent???

PMRNC

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Re: medicaid billing agent number
« Reply #8 on: April 06, 2010, 10:44:59 AM »
Quote
You have to have a medicaid provider number as a billing agent???

Yes, we (Billing Agency) have to submit the Service Bureau Enrollment
Linda Walker
Practice Managers Resource & Networking Community
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Pay_My_Claims

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Re: medicaid billing agent number
« Reply #9 on: April 06, 2010, 06:28:57 PM »
*scratches off NY & NJ for billing states*
Must be a northern thang........I so love the country!!

PMRNC

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Re: medicaid billing agent number
« Reply #10 on: April 06, 2010, 07:33:39 PM »
It's not such a big deal :)  I dont' have any problems with NY Medicaid.... ****KNOCKS WOOD*****
Linda Walker
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Michele

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Re: medicaid billing agent number
« Reply #11 on: April 07, 2010, 06:58:24 AM »
Yeah, it wasn't a problem (and isn't a problem) for us either.  Easy process to go thru and hasn't been any problem since.  ****POUNDING ON WOOD*****
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Pay_My_Claims

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Re: medicaid billing agent number
« Reply #12 on: April 07, 2010, 04:18:09 PM »
LOL, I HATED NY medicaid when I worked at the hospital. There are just some states I just don't bother with, NY, NJ and Florida are three of them. I also prefer to stay local in case I have to beat down a physician for my money.

PMRNC

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Re: medicaid billing agent number
« Reply #13 on: April 07, 2010, 07:16:15 PM »
Florida Medicare and Medicaid are actually really good! I had a client who used to practice in Florida in the winters and I would do the billing from NJ. Never had a problem, in fact I had easier time with his Florida patients. LOL But that was long before NJ came up with all their regulations. NY isn't so bad and I love CT as well.

States that have more regulations are actually good for our reputation, it holds us accountable which therefore makes our profession more reputable. So I can't say there isn't a state I wouldn't work for..where there are hoops to jump through it just gives me more credibility.
Linda Walker
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Pay_My_Claims

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Re: medicaid billing agent number
« Reply #14 on: April 07, 2010, 07:52:31 PM »
Florida Medicare and Medicaid are actually really good! I had a client who used to practice in Florida in the winters and I would do the billing from NJ. Never had a problem, in fact I had easier time with his Florida patients. LOL But that was long before NJ came up with all their regulations. NY isn't so bad and I love CT as well.

States that have more regulations are actually good for our reputation, it holds us accountable which therefore makes our profession more reputable. So I can't say there isn't a state I wouldn't work for..where there are hoops to jump through it just gives me more credibility.

I understand that, but FLorida is because of the fee splitting crap. I'm a believer in specialties also. One of the things that I stress to anyone that I mentor to is to familiarize yourself with the medicaid rules of the state you are billing for. Each state has different rules. We have a Cap Medicaid program in NC. I don't know if any other state has that. If they do, it may be called something else, and the rules are different. I can be flexible in my border states and have plenty of business. I had a friend who took on a NC provider (she is from another state) and he does a lot of medicaid. She had to rebill those claims several times because she just wasn't familiar with how we do Medicaid in NC. Another reason as I stated, its just risky enough when you deal with providers paying you. I just prefer local providers personally.