Medical Billing Software Proficiency Certification

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Maggie visits the chiropractor once every week and has Medicaid. Maggie is told by the chiropractor that she must pay a $25 copay for each visit even though she has Medicaid. There is no copay on Marge's insurance card. When Maggie questions the billing office, they inform her that her insurance only pays $17 for each chiropractic visit and that it would be cheaper for her to pay the $25 out-of-pocket. In accordance with Medicaid rules:

Maggie should ask to pay $17 per visit. It is illegal to bill Medicaid patients without signed consent. it is illegal to bill Medicaid patients before billing Medicaid first. Maggie should call Medicaid to see if her copay has changed.

Correct Answer:

It is illegal to bill Medicaid patients without signed consent.

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