About LASHUNDA Expertise Billing,Claims, and resolutions to the following insurance agencies: Medicare, Medicaid, Coordination of Benefits, Most Managed Care such as HMO's, PPO's, Medicare Advantage Plans, Governmental Agencies such as Work Comp and Veteran's Administration. I would like questions that are in regards to Billing and Collections from Insurance Companies. I can also accept some questions regarding accounts sent to Medical Collections. Please be advised that I reside in Texas and most of my knowledge is based on how it works in Texas.
Experience I have worked in the Medical field for 15 years. I currently help to coordinate contracts for a physician group in Texas. I am extremely good with resolving issues with commerical insurance companies. I'm an expert in coordination of benefits between Medicare and Commercial insurance companies.
Question If a patient has medicare covered services only thru the medicaid program and medicaid does not pay anything on the claim, can we bill the patient?
Answer Hi Gayle. Thanks for the question. If your physicians agree to accept Medicaid as payment in full then you should watch the R&S statement from Medicaid to see if the patient is billable. Most Medicaid guidelines say that you cannot bill the patient. The R&S should tell you if you can bill the patient or not.
