TO BILL PATIENT OR NOT TO BILL PATIENT
Good Morning to ALL!! Please help me to solve this issue in my office. Ins will pay for injection of drug for certain diag's. We did injection out of the realm of payable diag's. Rcv'd denial!!...
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Bill the patient. They are ultimately responsible to know what their insurance covers.You can do an ABN for any insurance, just take off the "medicare" references. I highly recommend it, as a CYA...
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This happens often in my practice. When a diagnosis is not included on the ins carrier's policy guidelines, it is usually denied as experimental. Experimental services are deemed not covered.Then they...
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Sharon and April Thanks for your input... Yes April it went exactly as you described it.... One DOS they had pt sign Medicare ABN, and the second Dos they did not have patient sign ABN, I guess they...
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If the ABN covered the days in question, such as, "The services you requested, CPT XXXXX, will require two visits. The first visit is for the surgery and the second visit is to take place within 7...
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That's OKay Steve, It was such a great explanation!! and a lesson in what not to do, that I, and I'm sure alot of other people learned something.....Thanks!!Kelli
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