Wiki Chronic Care Management - Medicare Secondary

[kstine713]

Hello!

If we have a patient with private BCBS as primary and Medicare Part B as secondary, can we still bill for Chronic Care Management? I am thinking yes, because they are technically a Medicare patient, but I can't find anything to say it's okay to bill this to a commercial payer. The code is not allowed on our commercial BCBS fee schedule, but would Medicare come in and pick up the charge on these codes?

Thank you!
Kaytie

 

[lcolborn]

If Medicare is secondary, and BCBS primary, I'm afraid Medicare would not pay because, as secondary they would need the EOB from the primary to make their payment.