Medical Billing Forum

General Category => General Questions => : brendab March 11, 2019, 03:07:30 PM

: QMB MEDICARE ADVANTAGE
: brendab March 11, 2019, 03:07:30 PM
When patient has a Medicare Advantage Plan and is also QMB are we required to write off any balance or is only if they have traditional Medicare?
Thank You
Brenda
: Re: QMB MEDICARE ADVANTAGE
: Kerry March 11, 2019, 04:52:45 PM
I believe you have to write off.  I would check noridian portal to verify patient is QMB.  It will be in bold green.
: Re: QMB MEDICARE ADVANTAGE
: brendab March 11, 2019, 07:34:28 PM
Thank you
: Re: QMB MEDICARE ADVANTAGE
: Michele March 12, 2019, 09:46:36 AM
What state are you in?  If they are QMB you would bill Medicaid for the balance after Medicare.  Are you not a Medicaid provider?
: Re: QMB MEDICARE ADVANTAGE
: brendab March 12, 2019, 11:32:17 AM
no we are not a medicade provider.
: Re: QMB MEDICARE ADVANTAGE
: Michele March 14, 2019, 12:01:55 PM
Do you have them sign something stating that you are not a Medicaid provider?  If they are QMB then I also believe you have to write off any balances.
: Re: QMB MEDICARE ADVANTAGE
: zahid March 18, 2019, 07:02:00 AM
if patient is medicare QMB and patient have medicaid insurance then can we bill to MEDICAID?
: Re: QMB MEDICARE ADVANTAGE
: Michele March 21, 2019, 09:43:20 AM
If patient is QMB you would bill Medicare first, then Medicaid.
: Re: QMB MEDICARE ADVANTAGE
: PMRNC March 25, 2019, 05:00:01 PM
QMB is not going to have balance.Cannot balance bill.
: Re: QMB MEDICARE ADVANTAGE
: liambrooks September 08, 2025, 03:19:08 PM
QMB Medicare Advantage helps low income people by covering medicare costs and offering extra health benefits through a medicare advantage plan.
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