Next Event: Practical Application of Front End Essentials for Billing
Date: May 28,2025
When is Medicare Primary or Secondary
There remains much confusion how to bill for outpatient therapy services when an outpatient therapy patient is entitled to Medicare, but may also be covered by a group health plan (GHP) or a non-group health plan (NGHP), such as workers compensation or auto no-fault, being primary. In this article, I will answer the following questions:
Auto Accident and Billing Medicare
I recently had a question submitted to me by one of my Gold Members. Here is the situation and question. We had a patient who had an auto insurance that was in litigation that settled; however, we did not even get 50 percent of what we charged. Are we allowed to bill the secondary for the remainder for payment? The secondary insurance is Medicare. Here is information I found that may assist you in the future if you encounter this situation. According to the Centers for Medicare and Medicaid Services,