Billing > Billing

Help with secondary ins. billing

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PMRNC:
That means they are structured like Medicare, meaning if Medicare isn't paying, neither will they. As long as you had an ABN you should be able to bill the patient.

Pay_My_Claims:
ABN-aint bout nothing   ;D

Michele:
I would still call them to verify that they will not make payment if Medicare is denying.  It may be that they just need to be 'educated' (Linda likes to educate people :) )  on Medicare's CAP for OT/ST/PT.

Michele

PMRNC:
I'd normally agree with you, but I've never run across any payor who wasn't aware of Medicare guidelines because many of them are secondary or primary and are based on Medicare coverage guidelines. Sure it wouldn't hurt to call or write them.. at this point what do you have to lose?  If anything you might establish that policy is NOT subject to Medicare guidelines.

alaughlin:
Thank you all for your help.  I will keep you posted on what happens.

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