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Billing question

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Here's another question. I hope you can share your thoughts.

A patient has an individual plan and chooses not to apply for Mcare or

possibly because the dialysis has not yet started that's why he can not

apply for Mcare.

The patient received the transplant and applied for Mcare during the

admission for the transplant. We all know that it takes between 60-90days

before the Mcare benefit starts but when it is awarded to the patient, the

benefit starts on the month of the transplant.

How do you bill this? Do you bill the individual plan first then get it

corrected when the Mcare starts? The commercial insurance needs to be billed

within 90 days to get reimbursement.

What does your institution do?

Thanks . rea

UTMB Galveston.

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