If PT has only Medicare Part A and Medicaid as 2nd...

[elizabeth@practicembs.com]

Hello. If patient has Medicare Part A only and Medicaid as 2nd - will Medicaid cover if the patient doesn't have Part B? ie, can my provider still bill for the inpt services to Medicare, get the denial and we can bill Medicaid?

 

[liloe517]

If the patient only has Medicare part A then you would bill to the Medicaid insurance only for the physicians charges. No need to bill to Medicare at all. You would act like they only have the Medicaid.

 

[michellepilcher]

In our state we would bill to MCR to get the denial or Medicaid will not process. Your state Medicaid will have guidelines on if you should bill MCR primary.