Medical billing for Vermont practices

Medical Billing Services in Vermont

Vermont Medicaid is not New Hampshire Medicaid and not New York Medicaid. Vermont Medicaid and the state's health-benefit programs are administered by the Department of Vermont Health Access. A managed-care member is billed to that plan. Fee-for-service Medicaid is a separate submission. eMedNY will not pay a Vermont member.

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What a claim follows in Vermont

Vermont Medicaid is not New Hampshire Medicaid and not New York Medicaid.

Department of Vermont Health Access

Vermont Medicaid and the state's health-benefit programs are administered by the Department of Vermont Health Access. A managed-care member is billed to that plan. Fee-for-service Medicaid is a separate submission. eMedNY will not pay a Vermont member.

National Government Services, Jurisdiction K

Medicare Part A and Part B for a Vermont practice go to National Government Services, Jurisdiction K, with New York, New Hampshire, and Massachusetts. The Medicare path matches a New York practice. The Medicaid path does not.

Workers' compensation

Vermont is not a no-fault state. A work injury is billed to the employer's carrier under the Department of Labor in Vermont. It is not a Vermont Medicaid claim.

A Burlington practice and a Plattsburgh practice can share a Medicare contractor and a lake. They do not share Medicaid. Vermont enrollment stays with the Department of Vermont Health Access.

Nearby states

Vermont billing questions

Who runs Vermont Medicaid?

The Department of Vermont Health Access. It is not eMedNY and not New Hampshire Medicaid.

Where does a Vermont Medicare claim go?

National Government Services, Jurisdiction K, the same contractor as New York.

Does a Vermont 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.