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If you have medicare and they make a payment to a hospital that accepts medicare can blue cross as your secondary deny payment?
Wiki User
∙ 13y ago
NO, not unless those services are a direct exclusion of your BCBS policy.
Wiki User
∙ 13y ago
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What is a Medicare instituted method of hospital payment?
HMO
Can medicare eligible retirees for part a and b choose to go to any hospital?
Yes, any hospital that will accept Medicare payment.
Do you obtain a authorization for secondary ins when medicare is primary?
after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.
What does it mean when a provider accepts assignment of benefits in relation to Medicare?
It means that the provider agrees to bill Medicare for treatment and accept Medicare as payment in full (except for co-pays and deductibles).
If a patient has medicare primary and medicaid secondary what payment is the patient responsible for?
WHEN MEDICARE IS PRIMARY, THE PATIENT IS RESPONSIBLE FOR THE SECONDARY COPAY.
How much will medicare pay for hernia surgery if you have no health insurance?
It should be completely covered provided your doctor informs Medicare that procedure is medically necessary, gets pre testing approval and doctor's office accepts full Medicare payment.
Patient has Medicare primary and medi cal secondary provider bills Medicare knowing Medicare contract is suspended or pending who then pays claim?
Once Medicare has "adjudicated" the bill, MediCal's payment will be based on their policy and the patient's eligibility on the date of service.
What is Medicare's payment for 90658 for 2009?
What is medicare's reimbursement for 90658?
What are the Medicare laws regarding Pain Clinics?
Contact Medicare or the clinic to see if they accept a Medicare payment. You may be required to pay the difference between the actual cost and the payment from Medicare.
What is the importance to the practice regarding the 80 20 payment scheme?
Medicare is paying only 80% of the approved amount the patient is being billed. The responsibility for 20% of the Medicare approved amount will be transferred to the secondary insurance carrier.
What form would a hospital use to submit a paper based claim to medicare for payment?
A hospital would use the CMS-1450, also known as the UB-04, form to submit a paper-based claim to Medicare for payment. This form is used for inpatient and outpatient services and includes information about the patient's diagnosis, treatment, and charges. It is important for the hospital to complete this form accurately to ensure timely reimbursement.
If you have medicare as your primary insurance how do you get your Medicaid to be the secondary?
Medicaid is always the payor of last resort. Before a Medicaid agency pays a bill for a Medicare beneficiary, they require documentation that Medicare has "adjudicated" the bill (i.e., decided whether to make payment and, if so, how much).
