saracpm
Contributor
My physician's practice in New York State and just recently completed the requirements to prescribe medical marijuana. I am a little confused as to how to bill this. The patient came in for a consult and has insurance that the doctor participates with, but I am being told that the patient will be self pay because the insurance company will not cover this type of visit (which immediately raises red flags in my mind). The patient has been seen previously for other conditions which have been billed to the insurance company. My understanding was that if we have a contract with the insurance company we can not bill the patient for services provided regardless of whether or not the insurance company will pay for these visits. I am also wondering how this situation would work with a Medicare patient. If anyone has had any experience with this I would really appreciate your help. This is very new to our practice so I am having a hard time finding information as to how to bill this type of a visit.