go to the nearest Walmart and buy as many bottles of Ibuprofen as you can fit in your cart.
just kidding..well kinda.
The billing, coding, pricing isnt going to matter, thats all done the same.
The part that becomes an issue is going to be on the back end and the appeals etc. It will be extremely important to let each and every individual that comes through your doors know that you are non-par with their carrier. It would be quite beneficial for your ASC to collect the patient portion up front as otherwise you may have a difficult time getting it. You can not just accept what the carrier pays and write the rest off, the balance remaining will be the patient responsibility and they should be billed accordingly. Most carriers base their processing for non par under what they call "reasonable and necessary", but it really doesnt matter what they deam R/N because the patient is still responsible for the balance on the account.
Be cautious with BCBS patients, as they tend to send the payment dirrectly to the patient when you are not a contracted provider. We had a patient receive a check for 19K and never paid us...left the state..gone...history COLLECTIONS!!
I do not envy you.
Good Luck and hope this sheds some light on what you are up against.
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