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:

Tags: Medicaid, QMB


There are no comments yet.

Leave a comment

Do not fill in this email field. It is used to detect spam bots.
Do not fill in this comment field. It is used to detect spam bots.
Recent Blog Posts
Recent Tweets