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Thread: Collecting $ From Medicare Patients

  1. #1

    Default Collecting $ From Medicare Patients

    AAPC: Back to School
    Does anyone know... Can you only bill a Medicare patient the Medicare allowed amount of a Medicare covered benefit, regardless if Medicare is primary or secondary? I have a patient that has Blue Shield primary, whom we are non- contracted with, and Medicare secondary and I am trying to determine what is the corect amount to collect from the patient...

  2. #2
    Join Date
    Apr 2007

    Default Collecting $ From Medicare Patients

    since you are not contracted with BCBS, charge will be applied to pt deductible and you can bill medicare as the primary, they will paid the 80% and you collect from the pt the 20%.

  3. #3
    Join Date
    Apr 2007
    St.Petersburg, Fl


    you could always have them sign an ABN to ensure you get payment for what is not covered under Medicare.
    Alecia Peck CPC

  4. #4
    Join Date
    Apr 2007
    Greeley, Colorado


    It is my understanding that if a patient has Medicare as a secondary you can only bill the limiting Medicare rate. Someone please correct me if I'm wrong.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Join Date
    Apr 2007
    North Carolina


    Last edited by RebeccaWoodward*; 07-14-2009 at 08:49 AM.

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