self pay

  1. C

    Wiki Self pay question!

    Hello! Can a hospital charge more for a private pay patient versus a patient with insurance? Looking at a billing sheet for a local Texas hospital it shows private pay being charged more than insurance charges?
  2. C

    Wiki Setting Self Pay Rates in Massachusetts

    Hello, I am fairly new to using this feature so I apologize if it seems a bit off. I am working with a behavior health practice who are not contracted with insurance, they wish to provide pricing on their website for services BUT they want to also list pricing per provider experience. I disagree...
  3. M

    Wiki No Surprises Act good faith estimate for walk-ins

    From what I understand, as an FQHC we have to provide our self pay patients an estimate at least one day before their service, but we often get walk-ins and same day appointments. How are we supposed to abide by this law when we have patients coming in the same day the appointment is scheduled...
  4. L

    Wiki Good Faith Estimate

    Can anyone provide a link to more information or webinars explaining what a surgeon's office must include in a good faith estimate for a self pay patient? We bill for our services only and have no way of knowing what the hospital is going to charge for their services. From what I am reading...
  5. B

    Wiki PT requesting to void some claims

    Hi All, Can anyone give me some guidance or references if a patient can come back requesting some part of their services to be voided due to high deductibles so they can be self-pay? I know they can opt-out, but is it okay after the fact and to do so for one specific service and not others...
  6. M

    Wiki Self Pay Discount

    If a patient is uninsured in the state of Kansas or Missouri, is there any law that would indicated what type of discount is to be given to the patient for any office exam's or procedures? Do we have to follow the Medicare allowable guidelines? Or would it be under the board of directors to...
  7. C

    Wiki Self-Pay Fee Schedule

    What formula are other practices using to create a Self-Pay Fee Schedule? Some of my research shows Medicare x 120%. Does anyone have any useful links? Thanks, Wendy
  8. J

    Wiki Billing insurance for injection and patient for drug

    If a drug is considered non-covered by the patients insurance. Can the patient pay cash for the drug and the physician bill the insurance for the administration example 20610 and an office visit if warranted?
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