Author Topic: collecting copays from someone with Medicare and Illinois Medicaid  (Read 1777 times)

cam6319

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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?)

« Last Edit: July 17, 2012, 01:14:58 PM by cam6319 »

Michele

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Re: collecting copays from someone with Medicare and Illinois Medicaid
« Reply #1 on: July 17, 2012, 06:05:19 PM »
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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PMRNC

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Re: collecting copays from someone with Medicare and Illinois Medicaid
« Reply #2 on: July 17, 2012, 06:07:00 PM »
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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KarenH

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Re: collecting copays from someone with Medicare and Illinois Medicaid
« Reply #3 on: July 18, 2012, 09:58:41 AM »
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.