Author Topic: Medicare/Medicaid crossovers payment questions  (Read 1527 times)

Migualla

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Medicare/Medicaid crossovers payment questions
« 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

PMRNC

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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Migualla

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Re: Medicare/Medicaid crossovers payment questions
« Reply #2 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

PMRNC

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Re: Medicare/Medicaid crossovers payment questions
« Reply #3 on: August 28, 2009, 05:27:22 PM »
I would call them and find out, it's possible that it crossed during the transition.

Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com