Billing > Billing

Medicare Secondary to Medicare for Chiropractic

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Michele:
31 in the payor field.  3 means patient has Medicare but it's not a covered service.  1 means no commercial insurance.

Michele

Steve Verno CMBS, CEMCS:
Each Medicaid is different. In Florida if you have Medicare and Medicaid, Medicaid doesnt pay when secondary to Medicare.  What they pay is the patient's Medicare premiums.

Pay_My_Claims:

--- Quote from: Steve Verno CMBS, CEMCS on December 27, 2009, 09:05:03 PM ---Each Medicaid is different. In Florida if you have Medicare and Medicaid, Medicaid doesnt pay when secondary to Medicare.  What they pay is the patient's Medicare premiums.

--- End quote ---

We have that in NC, it is QMB medicaid, and it covers the part B premiums. This is the case when the client's income is too high for Medicaid, but low enough where they need assistance.

So you are saying there is no Medicaid plan in Florida that pays after Medicare???

Michele:
I was wondering the same thing.  I was actually just going to begin researching this for myself.  So is the patient responsible for the balance after Medicare - if Medicaid doesn't pay?  Or does the Dr have to eat it!

Michele

Pay_My_Claims:
if it is like NC medicaid then the client has to pay the 20%. I looked up Florida medicaid and they have a lot of programs available, and I don't see one that states that if you have Medicare and medicaid, they won't pay after Medicare. I can't believe any state will offer medicaid for inpoverished people and make them pay the 20%. Every state that I know the medicaid paid if they had the one for disabled, or aged. When I billed Florida Medicaid (been at least 3 years) they paid the balance after medicare.

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