Long-Term Care

Six steps to better Medicare coinsurance billing

Billing Alert for Long-Term Care, September 1, 2008

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Medicare coinsurance collections can often trip up billers. To ensure productive, timely Medicare coinsurance billing, follow these steps:

1. Don’t assume that a new resident has only one payer. Many facilities fail to define the payer source after Medicare during the admissions process, says Mary Petersen, NHA, health services consultant at Specialized Medical Services, Inc., in Milwaukee. “Anyone who comes into a facility has to have at least two payers. A resident is either Medicare and private pay, Medicare and pending Medicaid, or Medicare and insurance [and subsequently private pay]. Providers must check the benefits in order to define the payer source,” Petersen says.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Billing Alert for Long-Term Care.

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