Wiki Medicare Primary

[LuluBarr]

One of our billers sent a claim to our PT's secondary insurance because they didn't have Part B benefits (we're in a doctors office), but now the secondary is asking for a refund of previous payments because the PT has medicare primary.

If a patient has medicare primary but has no Part B Medicare benefits should a doctors office bill medicare first anyway, and then the secondary?

 

[LuluBarr]

any ideas?

 

[Cyndi113]

I would call the secondary and tell them that PT only has Part A. They should already know. Check with them and see if they actually need the Medicare denial. If you bill again, it will most likely deny as a duplicate billing.