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Billing Medicaid Patients

  1. #1
    Default Billing Medicaid Patients
    Medical Coding Books
    Hello there,

    Does anyone know of a link where I can find information about billing patients who are covered under Medicaid or an MCO? Including charges for a missed appointment, no show, etc. Some of us are under the impression that a Medicaid patient can never be billed even if a particular procedure is not covered.


  2. #2
    I found info under the provider manual for our Medicaid program. It mentions about billing for non-covered services but not about no shows. I know we can't bill our patients on Medicaid in our area
    Herbie W Lorona Jr., CPC, CPC-H

  3. #3
    you can review the medicaid manual online through CMS but we bill our Medicaid patients for their co-pays from their primary insurance which is legal and as long as you have the patient sign a detailed financial statement that they are aware they owe for these services it is legal. Now if it is a caresource or unison you need to read your contract, I know in our caresource contract you cannot legally bill the patient for missed appointments. hope this help. sharon davis-day, cpc

  4. #4
    Thanks for the information.

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