AAPC - Back to school
Results 1 to 3 of 3

Thread: Medicare Primary

  1. #1

    Default Medicare Primary

    AAPC: Back to School
    One of our billers sent a claim to our PT's secondary insurance because they didn't have Part B benefits (we're in a doctors office), but now the secondary is asking for a refund of previous payments because the PT has medicare primary.

    If a patient has medicare primary but has no Part B Medicare benefits should a doctors office bill medicare first anyway, and then the secondary?

  2. #2


    any ideas?

  3. #3
    Join Date
    Apr 2007
    Phoenix, AZ


    I would call the secondary and tell them that PT only has Part A. They should already know. Check with them and see if they actually need the Medicare denial. If you bill again, it will most likely deny as a duplicate billing.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

Similar Threads

  1. BMI as primary DX - Medicare
    By stacbartNUC@gmail.com in forum Family Practice
    Replies: 2
    Last Post: 12-11-2014, 12:05 PM
  2. V Codes as Primary DX for Medicare
    By AmandaM2153 in forum Medicare Regulations
    Replies: 10
    Last Post: 11-17-2014, 08:49 AM
  3. Billing ? If Medicare is primary and we did not know it?
    By insight in forum Billing/Reimbursement
    Replies: 7
    Last Post: 04-02-2014, 11:59 AM
  4. Medicare primary payor
    By trainey in forum Modifiers
    Replies: 2
    Last Post: 02-02-2012, 06:03 AM
  5. medicare primary billing
    By LuluBarr in forum Medicare Regulations
    Replies: 5
    Last Post: 09-05-2010, 08:00 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.