Can we take writeoff for Medicare secondary?

by Arulprasath

If medicare is paying as secondary insurance can we take writeoff for the remaining balance?

Thanks for the question - here's my attempt to answer. If anyone else would like to add or comments, please do so by simply clicking on the link below.

As far writing off the the remaining balance, when Medicare pays the secondary claim, we typically write off the portion that's not covered as shown on the EOB (explanation of benefits). This would be the difference between the charges submitted and the charges allowed. Outside of a copay and deductible, we pretty much always write off any amount above the allowable. Any unpaid copay or deductible would then be billed to the patient.

For those not familiar with Medicare as a secondary coverage, typically Medicare is the secondary insurance when the person is covered by a primary group insurance (such as through an employer), Veterans coverage, workers' compensation, or there is another primary liability coverage. It can get quite complicated depending on the situation. I don't encounter these types of coverage situations very often.

Here's a flowchart that our Medicare administrator - Cahaba Government Administrators - has created to try to explain all the different scenario's. Quite honestly its very confusing as you can see.



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