Our physician is a participating provider with medicare but non participating with medicaid. We were recently informed that we cannot balance bill the patient for coinsurance because he is a participating provider with medicare. We do inform the patient up front that the provider is non participating in medicaid. In addition, Evercare told us it was against the law to collect co insurance or copays from the patient if they have medicaid as secondary and we are non participating.
Does any one know if this is true and if so where I can find the policy/documentation to support this to show to the provider?
Thanks
Does any one know if this is true and if so where I can find the policy/documentation to support this to show to the provider?
Thanks