Medical Billing Forum

Billing => Billing => : jpositos March 05, 2022, 02:42:31 AM

: MEDICARE CLAIM QUESTION
: jpositos 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
: Re: MEDICARE CLAIM QUESTION
: MaxeeleeCol March 08, 2022, 05:28:44 PM
I think claim would be summitted using both the payor's and the Contractor's ID. ???
: Re: MEDICARE CLAIM QUESTION
: Michele 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.