What is true about Medicaid-participating providers?

Study for the Physician Office Billing Test with our comprehensive flashcards and multiple choice questions. Each question includes hints and detailed explanations to ensure you're fully prepared. Master the billing process in physician offices and ace your exam!

Medicaid-participating providers can indeed bill patients for excluded services under specific conditions, making this the correct choice. This typically means that if a service is not covered by Medicaid, the provider may charge the patient directly for that service, as long as certain regulations and guidelines are followed, such as informing the patient beforehand about the non-covered status of the services.

This option highlights the flexibility providers have regarding specific services that Medicare or Medicaid does not pay for, which is an important aspect of billing practices in healthcare. Providers must be transparent with their patients about what is covered and what isn't, ensuring patients are aware of their financial responsibilities.

In terms of the other choices, participating providers are generally not allowed to charge patients for covered services; they are contracted to accept Medicaid's reimbursement rates. They can refuse to see Medicaid patients, but that is not an obligation of participation; the choice to accept Medicaid patients is up to the provider. Lastly, providers do not have to charge the same fees as non-Medicaid providers; Medicaid often establishes its own fee schedule that may differ from those of private insurance providers.

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