Results 1 to 2 of 2

Cosmetic vs Insurance Billing

  1. Default Cosmetic vs Insurance Billing
    Medical Coding Books
    My doctor has in his mind that we can have two different price lists, one for cosmetic surgery and one for insurance billing. I know this is isn't true but I need something in writing to show him. HELP!!!

  2. Default
    In Texas, for example, it is illegal to have more than one fee schedule (exepting Medicare & Medicaid), but I am not aware of other states that prohibit multiple fee schedules.

    In the example you give -- insurance v. cosmetic -- would it also be true to label it insurance v. no insurance? If so, then wouldn't you agree that many providers have fees for those with and those without insurance?

    Sounds like the same thing to me. Doctors have been using multiple fee schedules for years. Unless I see something in writing like the TX statute, I believe it is okay and in some cases, important - you don't want to charge everyone your Medicare rates, right?
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    AMBACode Coding Software
    2015 AMBA National Medical Billing Conference

Similar Threads

  1. Replies: 2
    Last Post: 03-24-2015, 12:14 PM
  2. Replies: 0
    Last Post: 08-15-2014, 12:53 PM
  3. cosmetic surgery and billing insurance
    By lalalisa in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 07-27-2011, 09:11 AM
  4. Billing Auto Insurance vs Private Insurance
    By kathymoon in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 08-08-2008, 07:47 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.