Medicare Secondary Payer CO45

Shagrlygrl

Contributor
Messages
17
Location
Farmdale, OH
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0
My medicare patient is covered by a working spouse BC policy. Medicare is secondary. BC pays less than Medicare ($23.28) for procedure and pushed the payment to PT deductible due.
Medicare also pushed the payment ($38.36) to PT deductible due. We are PAR with the blue policy. Whose CO45 rules? Can we charge the patient for the higher deductible due?

Thanks for feedback!
 

CodingKing

True Blue
Messages
3,955
Best answers
1
Apply the primary deductible to patient responsibility and not the higher secondary deductible. You don't want to balance bill for more than patient liability of the lowest allowable.
 
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