Medicaid Refunds

[kayfly4]

I have no experience with coding and only do billing for a small practice. We owe Medicaid a small refund and they do not take checks anymore. I do not understand what to do from their instructions. ...you may submit adjustment on a paper claim form along with a claim adjustment form.  I never have had to do this and have no idea! First suggestion is: complete adjustments via their trading Partner Account or EDI 837 transaction...that one sounds easier but is foreign to me. Any help I would be forever grateful.

[Michele]

I'm not sure what state you are in but in NY you can log into EPACES and do the claim adjustment online.  That will trigger them to do a retraction on the next check.

[kayfly4]

I should have said...I am in Idaho!  Thank you and I will look that up and see if it is a viable answer for me, thank you so much!

[PMRNC]

I did a consulting job about a year ago where provider owed Medicaid $1100 and he was old school.. just little research and we found out they have to take a check, we simply attached info showing that with the check and "good faith statement".
I have not billed Medicaid in a while though. Out here in NY they cover everything, it's what they pay that had my clients opt out, they were losing a LOT of money.