MA13MA-series (Medicare alerts & claim-level)Alerts & Appeals
MA13: Alert: don't balance-bill non-PR amounts
Warning that billing the patient for amounts not marked as PR (patient responsibility) can trigger penalties — CO amounts are yours to absorb, not the patient's.
What to do about it
Audit statements against the remit: only PR group amounts go to the patient. Write off CO adjustments per your contract — balance-billing them violates it.
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