Reader Questions:
Puzzle Out Proper Reporting for Partially Covered Cases
Published on Thu May 09, 2024
Question: We have a patient who underwent a procedure — part of the service is covered by insurance, but the other part of the case isn’t because it’s cosmetic. Is it possible to bill the payer a portion of the anesthesia service and have the other portion billed to the patient? If so, are we required to reduce the base value? [...]