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How do you bill secondary Medicaid when Medicare is with an HMO?
Wiki User
∙ 13y ago
You submit an EOB from the Medicare HMO with your Medicaid claim.
Wiki User
∙ 13y ago
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Can i submit a bill nys Medicaid for medicare hmo deductible?
You cannot bill Medicaid for your HMO deductibles. However, if you are medicaid eligible, you don't need a Medicare HMO - Medicaid should be paying your Medicare co-payments, deductibles, and any other covered expenses that Medicare doesn't pay. If you are on Medicaid spend-down, your HMO deductible is a medical expense that can be applied to spend-down.
Can a medicare or Medicaid beneficary join a hmo?
Certainly altho I see no benefit for a Medicaid recipient. The HMO would be the primary insurer and Medicare secondary. Medicaid is always the payor of last resort. However, there shouldn't be any expenses for Medicare or Medicaid to pay.
If you switch from HMO back to Medicare can the skilled nursing facility that the patient is at bill Medicare for skilled needs?
If they are under skilled HMO yes you can bill Medicare. You still have to follow the assessments needed by Medicare
Does medicare work with any hmo?
yes some plan, medicare work with hmo .
Where can I find an official list on clinics I am able to go to with my Medicare HMO plan?
That will depend on your location. A comprehensive list can be found at http://en.allexperts.com/q/Medicare-Medicaid-Insurance-992/e47345/index_8.htm.
How do I select a Medicare HMO?
Visit www.medicare.gov to compare Medicare HMO's in your area. You can then select one and enroll on the website.
Are medicare hmo plans very affordable these days?
There are a variety of Medicare HMO plans that are available for all kinds of incomes. Under the new Obama health plan, everyone should be available to get a medicare HMO plan.
Need straight medicaid have arthritis bad how can i get disinrolled from hmo right away?
I' don't know how it works on your Sate, but in FL, all you have to do is call Medicaid office ( number on back of the card) between the 1st and the 15th of the month ( any month) and tell them that you no longer want to be in HMO, and they will take care of the rest, and you will be eligible for straight medicaid the 1st day of the following month the same with medicare.
What is shadow billing in medical billing?
Hospitals are reimbursed by Medicare for handling a high level of indigent patients and are also reimbursed for educating interns and residents. When a Medicare patient is covered by a Medicare Replacement Plan (HMO Insurance for medicare patients), the hospital can only get the extra reimbursement for indigent patients and educating intern and residents if they send Medicare a "shadow bill". Basically, it is a copy of the identical bill sent to the HMO which is submitted to Medicare only for the purpose for the extra payment.
Is Medicare an HMO?
No, Medicare is a Fee For Service Program, but doctors must contract with Medicare to treat Medicare patients
How do you stop medicare from being deducted from social security check There is a comapny MDMedicare complete that offers an HMO which gives you back 60.00 of the premium for your Medicare?
There is a comapny MDMedicare complete that offers an HMO which gives you back 60.00 of the premium for your Medicare You are paying Medicare approx $94.00this plan gives you back $60.00 so you only pay $34.00 approx Bill
Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
