anlagrange
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I am hoping some of you can weight in with your thoughts. A patient is seen by the bariatrics surgeon for a lapband adjustment and an office visit. The billing office sends a bill to the payor for both E/M level office visit and lap band adjustment. The payer denies the lapband adjustment as being inclusive in the payment for the office visit. The lap band has a higher gross charge than the office visit.
What are the ethics revolving around only billing the higher level charge (lap band adjustment) and not the E/M level office visit?
My thought is that this has illegal written all over it.
Any thoughts or links on this topic would be greatly apprciated.
Thank you!
What are the ethics revolving around only billing the higher level charge (lap band adjustment) and not the E/M level office visit?
My thought is that this has illegal written all over it.
Any thoughts or links on this topic would be greatly apprciated.
Thank you!