Good Morning Billers,

I currently have a patient who has Medicare and MA.  He doesn’t meet the criteria for Medicare as we are doing medication management and he isn’t homebound.

I have sent an NOA to Medicare, but wondering if I have to bill Medicare when we know it isn’t a covered service for them.  If we do have to bill, how do we do this when Medicare would be the 30 day episode and MA is billed monthly?

Under MA, he gets the 9 Skilled Nurse visits w/out authorization and once we reach that I will send in an authorization for more visits.  Is there any special way I have to bill MA?

Thanks for your help

Becky Landman

LifeCare Home Care & Hospice

715 Delmore Drive

Roseau, MN  56751

218-463-3211 Ext. 4173