Wiki OB?GYN medicaid secondary question

[beazer]

When medicaid is secondary insurance coverage and a global obstetrical delivery is billed to a primary insurance (say anthem) which posts balance out to deductible and pays nothing is there a modifier that will get this claim to process and pay with medicaid without changing the cpt.....

 

[broncsrox]

No modifier that I'm aware of. Is Medicaid denying your claim? If so, what's the denial reason? Do they not accept the global code?

 

[sdarrah]

medicaid denial

I agree no modifier that I am aware of - however you may want to contact medicaid I have found in many cases the primary insurance has paid more than allowed by medicaid therefore no payment will be made

Sandy Darrah CPC