Author Topic: MEDICARE CLAIM QUESTION  (Read 422 times)

jpositos

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MEDICARE CLAIM QUESTION
« on: March 05, 2022, 02:42:31 AM »
Hello,

One of our California Medicare Providers was contacted by a client with Hawaii Medicare and begun doing virtual psychotherapy sessions while Provider is in California and client is in Hawaii. Both California & Hawaii Part B have the same Contractor (Noridian - JE).  Do I submit the claims using the Hawaii Medicare Payor ID or the California Payor ID? 

Thank you!

Jocelyn

MaxeeleeCol

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Re: MEDICARE CLAIM QUESTION
« Reply #1 on: March 08, 2022, 05:28:44 PM »
I think claim would be summitted using both the payor's and the Contractor's ID. ???

Michele

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Re: MEDICARE CLAIM QUESTION
« Reply #2 on: March 09, 2022, 06:07:44 PM »
This is a tough one.  Prior to COVID-19 the place of service was where the patient was located, which in this case would be Hawaii.  But COVID-19 changed all of the rules.  I believe if the provider is contracted with Hawaii Medicare you would send the claim to them using the Hawaii Medicare Payor ID.
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Re: MEDICARE CLAIM QUESTION
« Reply #2 on: March 09, 2022, 06:07:44 PM »