Medical Billing Forum
General Category => New! => : awedding4you November 11, 2008, 10:00:18 AM
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If a pt has Medicare and Medicaid and the provider of service is not a participant with Medicaid can we the provider bill the patient for the 20% Medicare doesn't cover.
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It may differ from state to state, but in NY the answer is no.
Michele
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As i know, in NJ, NY, FL you can not bill pt for the medicare leftover, should be written off. For Maryland state (exception state), can bill pt. for the balance.
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Its going to cross over from Medicare...then what???
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Charlene,
If medicare crossover happens, still can't bill pt. Provider must have enrollment with medicaid.
Thanks,
Amit
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Amit, I know you can't bill the client, the question was...
Client has medicare & medicaid. Medicare pays and the claim crosses to medicaid..what happens to the claim!!!!!
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You'll still get an EOB, if provider is non par it will say so with Zero payment.
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You'll still get an EOB, if provider is non par it will say so with Zero payment.
Thank you!!