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Wiki Medicare and medicaid need help

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ivonneatanacio

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Mechanicsville, VA
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We have an office located in NJ and I need some help.
My question is If the patient has medicare and medicaid and we do not par with medicaid can we balance bill the patient for the 20% owed from medicare?

I believe we can not but I have to provide proof to the Dr. in order to have him make adjustment.
 
I think the bigger question is did you know the patient had Mediciad when the appointment was set. If so then they should have been directed to a Medicaid participating provider. So I would say no then you cannot collect from the patient.
 
No you cannot balance bill a Medicaid Patient you will have to w/o off or refer patient to Medicaid provider.
 
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