Medical billing for Michigan practices

Medical Billing Services in Michigan

A no-fault bill is not a Michigan Medicaid claim, even when the patient also has Medicaid. The Michigan Department of Health and Human Services runs Medicaid. Managed-care members are billed to their plan. Fee-for-service Medicaid uses the state path. Ohio Medicaid will not pay a Michigan member.

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What a claim follows in Michigan

A no-fault bill is not a Michigan Medicaid claim, even when the patient also has Medicaid.

Michigan Medicaid

The Michigan Department of Health and Human Services runs Medicaid. Managed-care members are billed to their plan. Fee-for-service Medicaid uses the state path. Ohio Medicaid will not pay a Michigan member.

WPS, Jurisdiction 8

Medicare Part A and Part B for a Michigan practice go to WPS Government Health Administrators, Jurisdiction 8, with Indiana. Ohio uses CGS Administrators, Jurisdiction 15. Wisconsin uses National Government Services, Jurisdiction 6.

No-fault auto

Michigan remains a no-fault state after the 2020 changes. The personal-injury-protection benefit depends on the policy the person chose. The medical bill goes to the no-fault insurer. A work injury goes to the employer's carrier under the Workers' Disability Compensation Agency.

Michigan auto billing starts with the policy, not with a guessed PIP limit. Coordination with health insurance and with Medicaid follows that policy. The claim is not built as a commercial office visit and then relabeled.

Nearby states

Michigan billing questions

Where does a Michigan Medicare claim go?

WPS Government Health Administrators, Jurisdiction 8. Ohio uses CGS Administrators, Jurisdiction 15.

How is a Michigan auto injury billed?

To the no-fault insurer under the personal-injury-protection option on that policy. It is not billed first to Michigan Medicaid.

Does a Michigan practice change the fee?

The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.