JaneSmith75
New
Hello,
We have patients who were receiving counseling services through an LPC. Medicare Part C is primary (WellCare) and Medicaid is secondary. Now, WellCare will pay for services if the counseling is provided by an LCSW or PhD, but recently they've denied for LPC credentials. What do we do, if the patient has Medicaid as a secondary? Is there ever a time when it's appropriate to ask a Medicaid beneficiary (who has Medicaid as a secondary insurance) for prompt payment when knowing the primary insurance will deny the claim for future appointments?
Does anyone know of a CMS link I can refer to?
Thank you kindly,
Diane
We have patients who were receiving counseling services through an LPC. Medicare Part C is primary (WellCare) and Medicaid is secondary. Now, WellCare will pay for services if the counseling is provided by an LCSW or PhD, but recently they've denied for LPC credentials. What do we do, if the patient has Medicaid as a secondary? Is there ever a time when it's appropriate to ask a Medicaid beneficiary (who has Medicaid as a secondary insurance) for prompt payment when knowing the primary insurance will deny the claim for future appointments?
Does anyone know of a CMS link I can refer to?
Thank you kindly,
Diane