DENIAL OF NEW BORN PATIENT SERVICES UNDER HOSPITAL CHARGES

DESCRIPTION OF THE ISSUE

Medicaid does not accept new born services filed with Parent’s Medicaid ID.  Claims were denied for request of exact patient’s Medicaid ID.

CONCEPT

Medicaid requests patient’s parent to get registered for the new born under Medicaid.  In such case a temporary Medicaid recipient number would be generated for the new borns.  On receiving this temporary#, we need to file MCD claims of the newborns with the same for reimbursement.

REASON

Parents of the Newborns does not respond properly for the Medicaid’s request.  This was also initiated to Dr’s office where even the provider could not help us in retrieving exact Medicaid details of the New born patients.  We also tried to get information from the hospitals but per their records, they do hold only parents’ info.