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Medicare and DSHS

Nancy Posted Tue 04th of November, 2014 13:54:27 PM

If a patient has Medicare and DSHS and the physician does not participate with DSHS can you bill the patient the 20% that Medicare does not cover. Physician are non-par with DSHS

SuperCoder Answered Wed 05th of November, 2014 08:00:26 AM

Thank you for you question.

In your state, is DSHS the same as Medicaid or is it a different program that assists with Medical Care? This information will help ups properly answer your question.

Nancy Posted Wed 21st of January, 2015 18:16:38 PM

It is Medicaid.

SuperCoder Answered Mon 02nd of February, 2015 11:02:43 AM

Thank you.

Medicare and Medicaid are separate insurers. Medicare is federal and Medicaid is state. If the physician does not participate with Medicaid and the patient is aware of this and chooses to receive care, the patient would be liable for the payment.

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