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Tip: Make sure your billing staff are aware of the prohibitions on balance billing Medi-Medi patients

September 09, 2016
Area(s) of Interest: Payor Issues and Reimbursement Practice Management 


Both state and federal law 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. For more information on this topic, see “Ask the Expert: Billing Medi-Medi patients,” free to members at Reimbursement Assistance.

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Access to our reimbursement experts is a FREE, members-only benefit. Call (800) 786-4262 or email economicservices@cmadocs.org.

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