tci Medicare Compliance & Reimbursement - 2009 Issue 16

COLLECTION: Get a Helping Hand From The State to Collect Copays

Analyze these facts before writing off low income copays. If your practice sees a lot of low income Medicare patients, you may be able to get a helping hand from your state. The 1997 Balanced Budget Act gave the states the choice of whether or not to pay coinsurances and deductibles for Medicare-Medicaid patients, says Atlanta-based attorney Allison Larro. "States can make this decision on their own, so the rules vary depending on location."The Medicare Modernization Act expanded programs for Medicare/Medicaid dual eligibles. There are three programs: • The Qualified Medicare Beneficiary (QMB) program pays premiums, copays, and...

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