Double check with your local carrier, but ours has told us that in this type of scenario only, it is ok to change your codes to send the claim to Medicare as the secondary payer. They told us we could choose to do it that way, or to just bill the primary payer a non-consult code. While of course many will choose to bill the higher paying consult code to the primary insurance, some billing systems do not allow for the change in coding when payment is involved. And of course the extra work might be an issue. We, at our facility have choosen to just bill the non-consult code. We figured it honestly is not worth the extra work, for the low anount of MSP patients we have.
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