• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Coding vs. Non Coding

Messages
1
Location
Thermal, CA
Best answers
0
Are we obligated to report every office visit or can we NOT report certain types of visits because they are too costly for such a small net reimbursement? Does anyone have any links for rules, guidelines, or laws to confirm? Thanks
 

Evelyn Kim

Guru
Local Chapter Officer
Messages
201
Location
San Antonio, TX
Best answers
0
I would agree, every visit should be billed. Check out the Stark law and the anti-kickback statutes in your state. This could get an office into a situation where they could not only loose thier ability to bill Medicare, but could face fraud charges.

billing should not be based on reimbursment, meaning to bill or not bill based on the amount of return. Every visit should be billed to the level appropriate for the service.
 
Top