anturner
Guest
Hello,
This is more of a personal question since it pertains to my father but I wanted to get some other opinions as well.
My dad had a prostate biopsy done in his doctors' office. They billed the same procedure codes with POS as office, and again billed with with POS as hospital. We contacted the office because I don't think this is correct (I feel it should be one or the other) and they are saying that it was billed correctly because "for the convenience of the patients," they have one room in their office that is considered an operating room so the patient doesn't have to go to the actual hospital to have the procedure done.
Has anyone heard of such a thing?? I feel like this is double dipping and I don't understand how you can bill for the same procedure twice. The "office" claim was paid in full by the insurance but the one billed as hospital applied entirely to the deductible so my dad has a bill for $2200. I'm going to write an appeal to the insurance, but wanted to see what other's thought first.
Thanks!
This is more of a personal question since it pertains to my father but I wanted to get some other opinions as well.
My dad had a prostate biopsy done in his doctors' office. They billed the same procedure codes with POS as office, and again billed with with POS as hospital. We contacted the office because I don't think this is correct (I feel it should be one or the other) and they are saying that it was billed correctly because "for the convenience of the patients," they have one room in their office that is considered an operating room so the patient doesn't have to go to the actual hospital to have the procedure done.
Has anyone heard of such a thing?? I feel like this is double dipping and I don't understand how you can bill for the same procedure twice. The "office" claim was paid in full by the insurance but the one billed as hospital applied entirely to the deductible so my dad has a bill for $2200. I'm going to write an appeal to the insurance, but wanted to see what other's thought first.
Thanks!