We also had some payers that would just pay one line and that's it. I do coding and billing at an ASC. I always code the op report, regardless of what the payer pays, line-wise or otherwise. That's what I've always been taught.
Also - I see times when registration gets the payer wrong for a patient so - what happens if the 'Medicaid' turns out to be wrong and it's a commercial payer for coverage? And - I think just from a financial reporting perspective, you want to capture all your charges; if the contractual obligations make you write off all the lines except the first, you need to show that in your financials as write offs.
I hope that helps.
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