Medical Billing Forum

Payments => Insurance Payments => Topic started by: Migualla on August 28, 2009, 12:13:15 PM

Title: Medicare/Medicaid crossovers payment questions
Post by: Migualla on August 28, 2009, 12:13:15 PM
Was just wondering if anyone is located in MO?   WPS implemented their new J5/MAC conversion and we received our 1st Medicaid R/A.. I have a ton of questions about what the heck happened and if others had a huge reduction in pay from Medicaid??  Thanks in advance
Title: Re: Medicare/Medicaid crossovers payment questions
Post by: PMRNC on August 28, 2009, 01:06:04 PM
Try this link: http://www.wpsic.com/medicare/j5macpartb/publications/news/archived/2009_0706_mcsmerge.shtml
Title: Re: Medicare/Medicaid crossovers payment questions
Post by: Migualla on August 28, 2009, 01:39:16 PM
Thank you for the link!  I read most all that applies but still am wondering how come there was such a reduction in payment from state medicaid.  I received a new medicare r/a today and it seems to be back to the previous payment amounts.  So, I am wondering if the one prior was just in error since the conversion and if it is an error do I need to refund state medicaid and then resubmit and hope it pays correctly this time around???  Not sure what to do from here???  Thanks
Title: Re: Medicare/Medicaid crossovers payment questions
Post by: PMRNC on August 28, 2009, 05:27:22 PM
I would call them and find out, it's possible that it crossed during the transition.