Ohio Medicare HMOs
Description
Collection
Title:
Ohio Medicare HMOs
Text:
Hello List
Can anyone offer insight concerning billing for services provided to hospital
inpatients insured through a Medicare HMO? It has occasionally been our
experience that the hospital says to bill the insurer and the insurer says to bill
the hospital. Do the Medicare HMOs pay a DRG or capitated-type amount to the
hospitals? Must all the HMOs do it the same way? Is there hard documentation
anywhere? Any insight will be appreciated
Tom Heckman CO
Can anyone offer insight concerning billing for services provided to hospital
inpatients insured through a Medicare HMO? It has occasionally been our
experience that the hospital says to bill the insurer and the insurer says to bill
the hospital. Do the Medicare HMOs pay a DRG or capitated-type amount to the
hospitals? Must all the HMOs do it the same way? Is there hard documentation
anywhere? Any insight will be appreciated
Tom Heckman CO
Citation
“Ohio Medicare HMOs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227304.
