When not to show patient
paid amounts on claims form in Field 28
Some
providers who accept assignment have a concern that Medicare issues partial
checks to beneficiaries. Such checks are generally issued because of a patient
paid amount in item 28 of the CMS-1500 (08/05) claim form. Here are a few notes
concerning this situation:
• When assignment is
accepted, Medicare Part B recommends:
• Since it is difficult to
predict when deductible/coinsurance amounts will be applicable - and
over-collection is considered program abuse - it is recommended that providers
do not collect these amounts until Medicare Part B payment is received.
