• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Non par reimbursement - ANY NON-PAR TRAUMA BILLERS

B

bill2doc

Guest
Messages
458
Billing for non-par trauma doc's for professional services. Kaiser paid for a pt in full for my billied 99291 but not in full for my 99292 as they stated paid by customary and resonable fee and noted an adjustment.

Anyone billing for non-par. My understanding was they should be paid in full as they are not participating and under no contract. I don't know how to know what the reasonable/customary fee is.... Can I appeal ? Can I balance bill the patient.

practicing in California

Thanks for your advice
 
bill2doc said:
Billing for non-par trauma doc's for professional services. Kaiser paid for a pt in full for my billied 99291 but not in full for my 99292 as they stated paid by customary and resonable fee and noted an adjustment.

Anyone billing for non-par. My understanding was they should be paid in full as they are not participating and under no contract. I don't know how to know what the reasonable/customary fee is.... Can I appeal ? Can I balance bill the patient.

practicing in California

Thanks for your advice
Click to expand...

Answered in another forum thread...non-par do not have to accept reasonable and customary as payment in full, you can bill the patient for the difference.
 
You must log in or register to reply here.
Top