In Billing
Dec 2nd, 2014
When Medicare acts as a secondary payer—that is, when another insurer, such as workman’s compensation, is primary—you cannot bill the patient for any amount unless the secondary claim has been filed with Medicare, and Medicare determines the amount owed by the patient. If the amount paid by the primary payer is equal to, or more ...
Jul 23rd, 2012
By John S. Aaron Jr, CPC It is 9:30 a.m. when the call comes in. The man on the line has received a bill for physical therapy services he received a month prior. He has a complaint: “Why did I receive this bill? I have insurance.” The biller explains, “We billed your insurance company and ...
Mar 1st, 2009
Hospitals would do well to monitor their plan using the 2009 OIG Work Plan. By Jillian Harrington, MHA, CPC, CPC-I, CCS-P In the January issue of Coding Edge, we looked at the 2009 Office of Inspector General (OIG) Work Plan as it pertains to physician practices. We would be remiss, however, if we didn’t look ...