Scenario
The patient has a commercial health insurance policy as primary with Medicare as the secondary payer.
The primary policy allows for billing of screws/anchors under the contract using C1713.
Medicare does not allow payment of C1713 and lists it as a packaged service/item.
Can an ASC have the patient sign an ABN at check in acknowledging they would be responsible for the cost of C1713?
C1713 is not typically billed to Medicare, however the facility wants to go by the primary payer’s remit and bill patient for deductible/co-insurance as listed on the primary insurance’s EOB.
Office staff has conflicting thoughts, any input would be greatly appreciated. Thank you.
The patient has a commercial health insurance policy as primary with Medicare as the secondary payer.
The primary policy allows for billing of screws/anchors under the contract using C1713.
Medicare does not allow payment of C1713 and lists it as a packaged service/item.
Can an ASC have the patient sign an ABN at check in acknowledging they would be responsible for the cost of C1713?
C1713 is not typically billed to Medicare, however the facility wants to go by the primary payer’s remit and bill patient for deductible/co-insurance as listed on the primary insurance’s EOB.
Office staff has conflicting thoughts, any input would be greatly appreciated. Thank you.