Medical Billing Forum
General Category => General Questions => : cam6319 July 17, 2012, 04:13:20 PM
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I work in a mental health agency and am billing for a psychiatrist. My question is this ~ The patient has both Medicare and Illinois Medicaid. If I am going to collect a copay - which copay would I collect?
Would I have to just collect the Medicare copay or can I collect the copay from both (medicare and illinois medicaid?)
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Each states laws regarding Medicaid vary but in NY you cannot collect from a patient with Medicare / Medicaid. You definitely cannot collect both. If the patient has a copay with Illinois then I believe you can only collect that.
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With any Medi/Medi, it's much easier to let both pay/consider and then collect any copay's from Medicaid but usually there isn't any.
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In IL Medicare will pay forward it to Medicaid they will pay or write off and you're done there is generally no copay if there is it may be literally a few cents. Basically you can't collect in this situation.