smoore0808
New
Does anyone know if there is a Medicare billing regulation that states you HAVE to bill secondary to Medicare insurances (commercial) the coins or copays left by Medicare?
Patient has a pro fee claim, Medicare processed but it didn't cross over to the secondary automatically and the coins left on the claim is $1.75 to be billed to commercial (aetna). Our small balance write off is 9.99 so instead of billing the secondary insurance we submitted an adjustment to the small balance write off.
Are we ok doing this if we do it across the board for all payers? If we choose not to get reimbursed by the secondary, is that really our choice? If we didnt bill the secondary we wouldnt bill the patient either.
Thank you,
Sarah
Patient has a pro fee claim, Medicare processed but it didn't cross over to the secondary automatically and the coins left on the claim is $1.75 to be billed to commercial (aetna). Our small balance write off is 9.99 so instead of billing the secondary insurance we submitted an adjustment to the small balance write off.
Are we ok doing this if we do it across the board for all payers? If we choose not to get reimbursed by the secondary, is that really our choice? If we didnt bill the secondary we wouldnt bill the patient either.
Thank you,
Sarah