Author Topic: NC MEDICAID  (Read 1447 times)

Sabrina

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NC MEDICAID
« on: January 26, 2009, 02:44:30 PM »
HELLO,

Does anybody know where to find the rules for NC Medicaid regarding %.  ??? 

Pay_My_Claims

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Re: NC MEDICAID
« Reply #1 on: January 26, 2009, 06:28:16 PM »
%?? do you mean how much a billing service can charge? I can send you the link to the NC Medicaid webisite

http://www.dhhs.state.nc.us/dma/

Sabrina

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Re: NC MEDICAID
« Reply #2 on: January 26, 2009, 06:53:12 PM »
Hi, Pay My Claims ;D

I am aware of the NC website. I am trying to find can i charge a % of what is collected not billed on NC Medicaid. If not than I would have to charge per claim but it would be based of what is collected to determine fee at time of payment. I would have to word that in my contract. Of course, it would be explained to the provider.  Just wondering about the %.  Thanks!

Pay_My_Claims

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Re: NC MEDICAID
« Reply #3 on: January 26, 2009, 07:17:16 PM »
I'm not sure Sabrina, but I think even with Medicaid it all falls under fee splitting & kick backs. If I find anything directed specifically to NC Medicaid, i will surely post it. Even charging per claim, you have to be cautious to go within the normal rate or it can be considered a "kick back"

Michele

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Re: NC MEDICAID
« Reply #4 on: January 26, 2009, 07:55:20 PM »
You can actually get around it in the wording of your contract by stating something like 

"charge a flat fee to be determined monthly based upon receivables from previous months"

Or some variation.  Crazy to just have to reword things to get paid!  :)

Michele
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Sabrina

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Re: NC MEDICAID
« Reply #5 on: January 27, 2009, 06:17:19 AM »
Hi to all,

Thanks for the advice that's what I'm going to do.  I was asked recently to do some billing for Individual therapy, I just found out the payor is Medicare/Medicaid. I am drawing up a contract I will let my attorney read it to approve it. I just want it to be 1 page no drawn out contract but to the point. Could I suggest the disclaimer in it regarding Hippa rules.  What you think?

Michele

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Re: NC MEDICAID
« Reply #6 on: January 27, 2009, 06:28:21 AM »
We have a short statement regarding HIPAA in ours.

Michele
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Sabrina

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Re: NC MEDICAID
« Reply #7 on: January 27, 2009, 07:25:02 AM »
thanks! 8)