Author Topic: Billing Medicare / Medicaid  (Read 2282 times)

awedding4you

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Billing Medicare / Medicaid
« on: November 11, 2008, 07:00:18 AM »
If a pt has Medicare and Medicaid and the provider of service is not a participant with Medicaid  can we the provider bill the patient for the 20% Medicare doesn't cover.

Michele

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Re: Billing Medicare / Medicaid
« Reply #1 on: November 11, 2008, 09:06:18 AM »
It may differ from state to state, but in NY the answer is no.

Michele
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Amit_Nischal

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Re: Billing Medicare / Medicaid
« Reply #2 on: July 14, 2009, 02:20:35 PM »
As i know, in NJ, NY, FL you can not bill pt for the medicare leftover, should be written off. For Maryland state (exception state), can bill pt. for the balance.

Pay_My_Claims

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Re: Billing Medicare / Medicaid
« Reply #3 on: July 14, 2009, 05:40:28 PM »
Its going to cross over from Medicare...then what???

Amit_Nischal

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Re: Billing Medicare / Medicaid
« Reply #4 on: July 15, 2009, 12:42:11 PM »
Charlene,

If medicare crossover happens, still can't bill pt. Provider must have enrollment with medicaid.

Thanks,
Amit

Pay_My_Claims

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Re: Billing Medicare / Medicaid
« Reply #5 on: July 15, 2009, 03:10:09 PM »
Amit, I know you can't bill the client, the question was...
Client has medicare & medicaid. Medicare pays and the claim crosses to medicaid..what happens to the claim!!!!!

PMRNC

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Re: Billing Medicare / Medicaid
« Reply #6 on: July 15, 2009, 04:47:22 PM »
You'll still get an EOB, if provider is non par it will say so with Zero payment.
Linda Walker
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Pay_My_Claims

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Re: Billing Medicare / Medicaid
« Reply #7 on: July 15, 2009, 04:54:23 PM »
You'll still get an EOB, if provider is non par it will say so with Zero payment.


Thank you!!