Results 1 to 3 of 3

Medicare Supplemental Charging Copay?

  1. #1
    Default Medicare Supplemental Charging Copay?
    Medical Coding Books
    This is not quite coding, but maybe someone can help.

    Medicare paid first, and there is coinsurance identified. The secondary payer is a commercial MC Supp plan, and they are applying a copay against the coinsurance.

    It was my understanding that Medicare Supp paid all coinsurance after Medicare pays, but I could be wrong.

    Any feedback/suggestions on how to get to the bottom of this? I don't want to recommend billing a Medicare patient unless I'm sure.

  2. #2
    Most supplemental coverages have their own deductibles and coinsurances. The only one I am aware of that should always pay 100% after medicare on covered services is Tricare for Life, even some medicaid plans have coinsurances.

    Laura, CPC, CEMC

  3. #3
    Yep, it does happen that Medicare and any secondary can assign co-insurance or deductible to the patient. As long as you have your EOB's indicating the same you can bill the patient. Go for it!
    claudia salas

Similar Threads

  1. Medicare Copay
    By kadesiag in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-17-2015, 03:33 PM
  2. Charging less than Medicare current fees?
    By Bran19 in forum Compliance General Discussion
    Replies: 2
    Last Post: 03-05-2015, 11:25 AM
  3. Replies: 0
    Last Post: 10-04-2013, 01:51 PM
  4. Medicare and charging for new pessary
    By westpa1 in forum OB/GYN
    Replies: 1
    Last Post: 03-09-2010, 02:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.