Billing > Billing
CAN WE BILL MEDICAID WHEN IS IS SECONDARY
lhough:
I too took it to mean that they were writing off if Medicaid was secondary prior to submitting and Medicaid paying.
PMRNC:
I read and was speaking of this:
--- Quote --- Medicaid should make payment. Any balance after Medicaid makes payment would be written off.
--- End quote ---
I've had many claims were Medicaid paid after Medicare, most notably my mental health patients in nursing homes. Granted the Medicaid Payments were pretty measley but they still paid secondary to Medicare.
Pay_My_Claims:
Yes, that statement is fine, its the one that I copied that's questionable. Even the post subject says "can we bill medicaid when it is secondary" and since they are doing adjustments after medicaid pays, it says to me that after the primary pays they were w/o the balances "except for the deductibles" and letting it go. Now once medicaid paid (probably from a crossover) they would have to go back in and do adjustments. Why would you do adjustments if you haven't w/o anything??
PMRNC:
Right I see what you are saying, what we should have said was.. don't write off or adjust anything off after primary pmt and adjustment UNTIL secondary payor pays. If they continue that practice they will just have to go and make adjustments to adjust down any secondary pmts/adjustments anyway. Messy file.
Pay_My_Claims:
I drink sometimes so I thought I was delusional !!! ;D
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