New CMA resource clarifies prohibitions on balance billing Medi-Medi patients September 13, 2016 Medi-Cal, Medicare Balance Billing, Medi-Cal, Medicare 0 The California Medical Association (CMA) often receives questions from physician members regarding the ability to collect the 20 percent that Medicare does not cover when the physician is not a Medi-Cal provider, but provides services to Medi-Medi (Medicare/Medi-Cal) patients. Both state and federal laws provide broad protections to such individuals and prohibit billing a Medi-Cal patient in most circumstances. Running afoul of these laws can put you at risk of a CMS audit and sanctions. CMA has created a new resource on this topic, “Ask the Expert: Billing Medi-Medi Patients,” free to members at www.cmanet.org/ces. Comments are closed.
