CatchTheWind
Guest
Commercial insurance paid at 100% of their allowance, leaving a zero balance. But patient has Medicare Secondary, and their allowance is much higher than the primary's. Can we bill Medicare to make up the difference in allowances (even though we are participating with the primary)?
And if so, how do we handle the resulting credit that results from receiving the Medicare payment after the balance was already zero?
Example (for simplification purposes, I am ignoring the sequestration adjustment):
Primary allows $70 and paid $70. Medicare allows $100, so if they were primary, they would have paid $80. As secondary they will pay $10.
And if so, how do we handle the resulting credit that results from receiving the Medicare payment after the balance was already zero?
Example (for simplification purposes, I am ignoring the sequestration adjustment):
Primary allows $70 and paid $70. Medicare allows $100, so if they were primary, they would have paid $80. As secondary they will pay $10.