MIPS payment posting by secondary payers

mihill

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When our Medicare claims cross over to Medicaid, Medicaid is not reading the MIPS adjustment code correctly. They are applying the adjustment against the CO-45, creating a patient balance of what Medicare's MIPS amount was.

Medicare when primary is processing MIPS correctly and the payments are posting correctly.


Is anyone else seeing this with their Medicare crossover to Medicaid claims?

Thannks for any input! :)
 

bperrault

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Local Chapter Officer
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Grants Pass, OR
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Just curious, what do you do with them ? How do you figure them into the Medicaid secondary claims ? I am very new to this and am just learning..
 
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