srouleau
Contributor
First, my expertise lies in coding, not billing and contracts, etc.
I just took a job at an outpatient imaging center and have some concerns regarding the billing. I have been told that if the insurance does not pay for certain procedures (mostly pain management supplies) in-network then, if the patient has out of network benefits, they bill that way and sometimes get paid. I'm concerned that this is not legal. Any advice/thoughts? Also, I need written proof to back up my statement if this is illegal so if I could also get a website where this info can be found that would be greatly appreciated. Thanks!
I just took a job at an outpatient imaging center and have some concerns regarding the billing. I have been told that if the insurance does not pay for certain procedures (mostly pain management supplies) in-network then, if the patient has out of network benefits, they bill that way and sometimes get paid. I'm concerned that this is not legal. Any advice/thoughts? Also, I need written proof to back up my statement if this is illegal so if I could also get a website where this info can be found that would be greatly appreciated. Thanks!