Wiki Non Covered Serives Charge

[codernickie]

Hi, I have a billing question regarding how to charge a patient for non covered service that was billed to their insurance.

If we have a service that is not covered by a patient insurance (non medicare)do we charge them the in network contract allowed amount for the service we have with that particular insurance or do charge them a self pay fee which can not be less then medicare allowed amount

Thank You
Nickie, CPC

 

[audragamble]

Non-covered

First you have to have given the patient notice that the service could be considered not covered by their insurance. Second you should have the patient sign a form stating that they still choose to receive the possible non covered service. Third it has to be the allowed amount of the contracted insurance company.

 

[codernickie]

Ok that make sense. The non covered service form, is this a form we can access online or do we just have to create our own form. I know medicare has a ABN form but I believe it is only for medicare patients

Thanks
Nickie, CPC