Results 1 to 4 of 4

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.

    Thanks!

  2. #2
    Default
    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
    hlorona@up2parmedicalclinic.com

  3. #3
    Default
    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 sdavis@atlasrehabandwellness.com

  4. #4
    Default
    Thanks for the information.

Similar Threads

  1. Medicaid Patients
    By slenert in forum Billing/Reimbursement
    Replies: 1
    Last Post: 09-02-2016, 03:40 PM
  2. Medicaid Limiting Patients
    By sbeauregard in forum Compliance General Discussion
    Replies: 0
    Last Post: 08-25-2015, 10:16 AM
  3. Billing patients with Medicaid secondary
    By CatchTheWind in forum Compliance General Discussion
    Replies: 4
    Last Post: 11-24-2014, 08:52 AM
  4. Balance billing DSHS/Medicaid patients.
    By l1ttle_0ne in forum Billing/Reimbursement
    Replies: 2
    Last Post: 11-05-2013, 08:03 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?

Login

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.