l1ttle_0ne
Guru
Our CEO is stating that when DSHS is secondary to Medicare they are required to pick up what Medicare did not pay. I (and all the other billers in our office) have always been told that DSHS processes secondary claims under their fee schedule. If DSHS says to write off because they allowed less, then that is what you do. Can anyone clarify??? He made it sound like its a "federal regulation". I've asked him to provide me proof, as he wants all of these claims appealed. Any knowledge you guys have would be much appreciated. Thanks!