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Handling Medicaid and HMO retroactive eligibility?

by Medical Billing | Oct 12, 2016 | Medicare payment basics

RETROACTIVE ELIGIBILITY Providers should be aware that, since bills have to be incurred before the deductible amount is met, there is always a period of retroactive eligibility. This may be several days or up to a period of three months from the current month. In this...

Billing Medicare – Medicaid patient . Explanation of different Medicaid plan and its coverage

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...

difference between Medicare and Medicaid insurance

by Lori | Nov 18, 2010 | Medicare payment basics

What is the difference between Medicare and Medicaid? While Medicaid and Medicare sound similar, they are in fact very different programs. One of the biggest differences is Medicaid is a state governed program and Medicare is a federal governed program. Here are some...

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Medicare reimbursement articles

  • CPT Codes 0185U, 0186U, 0187U -Genotyping (Fut1), Gene Analysis,
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  • BCBS prefix – Why its important to read correctly.
  • MCO – MIS and reporting system
  • How to TRANSITIONING/TRANSFERRING OF ENROLLEES to MCO
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CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
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