Medical Billing Forum

General Category => General Questions => : kayfly4 May 21, 2019, 05:49:58 PM

: Medicaid Refunds
: kayfly4 May 21, 2019, 05:49:58 PM
I have no experience with coding and only do billing for a small practice. We owe Medicaid a small refund and they do not take checks anymore. I do not understand what to do from their instructions. ...you may submit adjustment on a paper claim form along with a claim adjustment form.  I never have had to do this and have no idea! First suggestion is: complete adjustments via their trading Partner Account or EDI 837 transaction...that one sounds easier but is foreign to me. Any help I would be forever grateful.
: Re: Medicaid Refunds
: Michele May 21, 2019, 10:07:18 PM
I'm not sure what state you are in but in NY you can log into EPACES and do the claim adjustment online.  That will trigger them to do a retraction on the next check.
: Re: Medicaid Refunds
: kayfly4 May 22, 2019, 12:13:25 AM
I should have said...I am in Idaho!  Thank you and I will look that up and see if it is a viable answer for me, thank you so much!
: Re: Medicaid Refunds
: PMRNC May 22, 2019, 10:45:32 AM
I did a consulting job about a year ago where provider owed Medicaid $1100 and he was old school.. just little research and we found out they have to take a check, we simply attached info showing that with the check and "good faith statement".
I have not billed Medicaid in a while though. Out here in NY they cover everything, it's what they pay that had my clients opt out, they were losing a LOT of money.