Author Topic: Medicaid QMB billing  (Read 791 times)

wastarita

  • Newbie
  • *
  • Posts: 1
Medicaid QMB billing
« on: January 28, 2020, 01:03:09 PM »
I have a scenario where I have PT/OT providers that are Medicare providers but only OPRA NY medicaid providers.  Understanding that OPRA providers cannot bill medicaid for services, can they bill for the when the patient is Medicare and has QMB medicaid for the co-insurance/co-pay?

Thank you in advance

Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: Medicaid QMB billing
« Reply #1 on: January 29, 2020, 04:34:59 PM »
Are they billing under a group?  If they are billing under a group they can be OPRA and bill under the group NPI & EIN.  Or they can change their status.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Medical Billing Forum

Re: Medicaid QMB billing
« Reply #1 on: January 29, 2020, 04:34:59 PM »