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medicare part b billing
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Topic: medicare part b billing (Read 3820 times)
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
medicare part b billing
«
on:
February 08, 2010, 05:33:48 PM »
Medicare says pt responsibility is 20% of allowed amount.
For 2010 fee schedule, their 20% is not adding up.
(it is the day after superbowl and my mind is frozen)
Please help.
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Pay_My_Claims
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Re: medicare part b billing
«
Reply #1 on:
February 08, 2010, 06:50:21 PM »
more info please
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: medicare part b billing
«
Reply #2 on:
February 08, 2010, 07:07:49 PM »
ok here is the situation - 2010 medicare fee schedule- par provider
a new eob is showing:
90804 allowed amount $59.79
paid provider $32.89
pt responsible $26.90
by my calculations, this does not add up to show 20%
please help
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DMK
Hero Member
Posts: 680
Re: medicare part b billing
«
Reply #3 on:
February 08, 2010, 07:41:03 PM »
Is is part deductible and part co-pay? It's still early in the year!
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Michele
Administrator
Hero Member
Posts: 5927
Re: medicare part b billing
«
Reply #4 on:
February 09, 2010, 10:19:36 AM »
If it's not deductible it may be the Mental Health Deduction - Medicare only pays 50% on most MH dxs.
Michele
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Medical Billing Forum
Re: medicare part b billing
«
Reply #4 on:
February 09, 2010, 10:19:36 AM »
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: medicare part b billing
«
Reply #5 on:
February 10, 2010, 06:36:01 PM »
thanks Michele..
So far it looks as if Medicare has dropped to 45% on MH for 2010.
We will see.
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PMRNC
Hero Member
Posts: 4562
Re: medicare part b billing
«
Reply #6 on:
February 13, 2010, 02:53:10 PM »
The payment is correct. MH is 55% this year as part of Medicare's Phase out plan for 2010-2014: In 2010 and 2011, Medicare will reimburse for just 55 percent of psychiatric services. Not until 2014 will reimbursement reach the standard 80 percent.
Quote
90804 allowed amount $59.79
paid provider $32.89
pt responsible $26.90
59.79 X 55% = 32.89
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: medicare part b billing
«
Reply #7 on:
February 23, 2010, 05:28:57 PM »
thanks so much Michelle.
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Medical Billing Forum
Re: medicare part b billing
«
Reply #7 on:
February 23, 2010, 05:28:57 PM »
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medicare part b billing