by Medical Billing | Nov 17, 2014 | Medicare payment basics
This is the most sighted question from provider. A: When assignment is accepted, Medicare Part B recommends: • Since it is difficult to predict when deductible/coinsurance amounts will be applicable – and over-collection is considered program abuse – do...
by Medical Billing | Sep 24, 2014 | Medicare payment basics
Dual Eligible Beneficiaries Dual eligible beneficiaries include individuals who receive full Medicaid benefits as well as those who only receive assistance with Medicare premiums or cost sharing. They must meet certain income and resource requirements and be entitled...
by Medical Billing | Aug 29, 2014 | Medicare payment basics
Medicare document says yes but only limited to Deductible and coins. Determination of Untimely Filing and Resulting Actions Medicare denies a claim for untimely filing if the receipt date applied to the claim exceeds 12 months or 1 calendar year from the date the...
by Medical Billing | Apr 9, 2014 | Medicare payment basics
Backdated Medicaid Cards If a member receives a backdated medical card and the provider wishes to accept it and bill Medicaid for services that occurred over a year ago, the claims must be billed within one year of the issuance of the card. Claims must be...
by Medical Billing | Mar 27, 2014 | Medicare payment basics
Beginning January 1, 2014, some services will be assigned copay amounts for Medicaid Members. The following copays will apply to claims with a date of service on or after January 1, 2014: Service TIER 1 Up to 50.00% FPL TIER 2 50.01-100.00% FPL ...