SamanthaJan31$
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Hi,
Can someone help with this question.
Say a patient has a commercial insurance for example like Empire BCBS with a $30 co payment and not every visit the patient can pay so as an FQHC we do let some visit's slide and let the patient pay the next time. However in this example the patient hasn't paid a few copay's in several visits and we continue to see her with Empire BCBS (commerical) and she also has Medicaid (straight). Can the biller/FQHC bill the patient's Medicaid to cover the copay amount, legally.
From my perspective we have always strictly billed the patient the co payment or co insurance and never sent it to another payer since these are "dues" the patient owes. And you would also have to monitor to see for example if Medicaid was paying that actual amount and not a penny over or to me that is double dipping.
Help! Please and thank you!
Can someone help with this question.
Say a patient has a commercial insurance for example like Empire BCBS with a $30 co payment and not every visit the patient can pay so as an FQHC we do let some visit's slide and let the patient pay the next time. However in this example the patient hasn't paid a few copay's in several visits and we continue to see her with Empire BCBS (commerical) and she also has Medicaid (straight). Can the biller/FQHC bill the patient's Medicaid to cover the copay amount, legally.
From my perspective we have always strictly billed the patient the co payment or co insurance and never sent it to another payer since these are "dues" the patient owes. And you would also have to monitor to see for example if Medicaid was paying that actual amount and not a penny over or to me that is double dipping.
Help! Please and thank you!