QMB- OA code write off
can someone assist me more on this?
someone on this forum stated: "QMB recipients cover their Medicare Part B premium, deductible, and co-insurances; the patient is not responsible for anything after Medicare processes the claim."
who are QMB recipients? I am confused on how they say they cover their part B premium, ded/coin who is covering this, the doctors if the patients are not having to pay them?
View attachment mm9911 - QMB Update (002).pdfView attachment mm9911 - QMB Update (002).pdf
I have been seeing this code, but when I log into Palmetto Medicare, there is nothing to indicate that a member is QMB?? Can we still bill to a secondary that they have on file w/us? What if THAT secondary deems PR?
This all seems to have taken effect Oct 1, 2017
The QMB indicators will initiate new messages on the Remittance Advice that reflect the
beneficiary’s QMB status and lack of liability for Medicare cost-sharing with three new
Remittance Advice Remark Codes (RARC) that are specific to those enrolled in QMB. As
appropriate, one or more of the following new codes will be returned:
N781 – No deductible may be collected as patient is a Medicaid/Qualified Medicare
Beneficiary. Review your records for any wrongfully collected coinsurance, deductible
or co-payments.
N782 – No coinsurance may be collected as patient is a Medicaid/Qualified Medicare
Beneficiary. Review your records for any wrongfully collected coinsurance, deductible
or co-payments.
N783 – No co-payment may be collected as patient is a Medicaid/Qualified Medicare
Beneficiary. Review your records for any wrongfully collected coinsurance, deductible
or co-payments.