Advanced Search

Medicare Compliance & Reimbursement

Industry Note:

CMS: Stop Balance Billing QMB Patients

Published on Fri Feb 19, 2016

If you see qualified Medicare beneficiaries (QMBs) — those patients who are eligible for both Medicaid and Medicare — then you should remove the phrase “balance billing” from your vocabulary, at least for your QMB patients. That’s the word from a recent MLN Matters article on the subject. “Despite federal law, erroneous balance billing of QMB individuals persists,” the Centers [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All