Does an office policy override a contract with Medicaid?
Providers of Medicaid strictly because of hospital rounds, but office policy is to not bill for Medicaid in an office setting. Is this a breech in contract? Can you choose to be a Medicaid provider for hospital setting, but not bill for in office setting services?
Some patients still want to be seen and pay cash. The patient is informed that we do not bill Medicaid in the office setting and are referred out for the most part, but some do slip through the cracks. A waiver is signed for all self pay patients stating they agree to pay the charges as billed by the office and will not submit charges to any other available coverage.
Considering opting out of being a Medicaid provider to avoid any fraud.
Any thoughts would be appreciated.
Providers of Medicaid strictly because of hospital rounds, but office policy is to not bill for Medicaid in an office setting. Is this a breech in contract? Can you choose to be a Medicaid provider for hospital setting, but not bill for in office setting services?
Some patients still want to be seen and pay cash. The patient is informed that we do not bill Medicaid in the office setting and are referred out for the most part, but some do slip through the cracks. A waiver is signed for all self pay patients stating they agree to pay the charges as billed by the office and will not submit charges to any other available coverage.
Considering opting out of being a Medicaid provider to avoid any fraud.
Any thoughts would be appreciated.