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Thread: Medicare and medicaid need help

  1. #1
    Join Date
    Apr 2007
    Richmond VA

    Question Medicare and medicaid need help

    AAPC: Back to School
    We have an office located in NJ and I need some help.
    My question is If the patient has medicare and medicaid and we do not par with medicaid can we balance bill the patient for the 20% owed from medicare?

    I believe we can not but I have to provide proof to the Dr. in order to have him make adjustment.
    Ivonne Atanacio CPC, CPC- I, CBCS

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I think the bigger question is did you know the patient had Mediciad when the appointment was set. If so then they should have been directed to a Medicaid participating provider. So I would say no then you cannot collect from the patient.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    No you cannot balance bill a Medicaid Patient you will have to w/o off or refer patient to Medicaid provider.

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