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GA Medicaid Reason code 0984

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HPATEL:
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:
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?

HPATEL:
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:
I agree with Michele, your probably not going to get any payment from Medicaid and cannot bill the insured.

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