Wiki Financial question

[sdunaway1]

Does anyone have knowledge if you can bill an insurance company for the doctor's time to complete a peer to peer review when you are requesting a preauthorization for a surgery ?

I cannot find documentation on this rule anywhere.

Thank you

 

[dceier]

Financial Question

No you cannot bill an insurance company for a peer to peer as this is sometimes part of the authorization process. As much of a pain as it is we are at their mercy.

 

[thomas7331]

I agree, this is a cost of doing business, not a medically necessary service provided to the patient. You couldn't bill it under the patient's plan, but some insurance contracts have clauses that require the insurance company to reimburse for administrative costs (such as the costs of copying medical records they have requested). You might check your contract with the payer to see if there is any such remedy provided for in the agreement.