pwidner1
Contributor
Hello,
I need some help. I am new to billing and coding in Kentucky and my new office does not participate with Kentucky Medicaid/ Passport. We will not accept patient's with this insurance but have had patients on occasion not tell us and are self pay or will pay their primary co pay and we find out later they have the Medicaid/ Passport. Do we have to bill Medicaid/ Passport if we seen this patient or can we bill the patient as self pay? In Michigan where I moved from we just billed the patient if we were non participating and patients are told we don't accept the insurance. Office seems to think that we have to bill the insurance if patient has insurance. I don't think so but I need to know if there is a law/ statute that I may be missing regarding this. Thank you.
I need some help. I am new to billing and coding in Kentucky and my new office does not participate with Kentucky Medicaid/ Passport. We will not accept patient's with this insurance but have had patients on occasion not tell us and are self pay or will pay their primary co pay and we find out later they have the Medicaid/ Passport. Do we have to bill Medicaid/ Passport if we seen this patient or can we bill the patient as self pay? In Michigan where I moved from we just billed the patient if we were non participating and patients are told we don't accept the insurance. Office seems to think that we have to bill the insurance if patient has insurance. I don't think so but I need to know if there is a law/ statute that I may be missing regarding this. Thank you.