Reminder: It's Against the Law to Bill Medicare QMB Patients

October 3rd, 2011

Dollars are tight.  Many Medicaid programs are putting limitations on the number of visits they will pay in a year.

Confusion reigns as to whether or not you can balance bill a Medicaid patient who has exceeded the number of visits in a year.  The short answer is probably no, but check with your Medicaid carrier to be sure.

One thing is for certain though:  It is against federal law to balance bill a Medicare QMB patient, ie a patient with Medicare primary and Medicaid secondary.

This has become such an issue that CMS has published a reminder at:  https://www.cms.gov/MLNMattersArticles/downloads/SE1128.pdf

Tags: Medicaid, QMB

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