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Can we charge the patient

  1. #1
    Reno, Nevada
    Default Can we charge the patient
    Medical Coding Books
    My Ophthalmologist does Lacrimal plug inserts for dry eyes. Medicare bundles the supply with the insertion. We have noticed that some private payers are also bundling. My doctor wants to know if we can have the Medicare patients sign a ABN and receive payment from the patient and can we have the comercial insurance sign a waiver stating if insurance doesn't cover that they will be billed? I don't know if we can and would like to get a answer to my doctor.

    Thank you in advance for your help!!
    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

  2. #2
    Evansville Indiana
    Default bundled services
    For Medicare, bundled services cannot be charged to the patient, even with an ABN.

  3. #3
    Sioux Falls South Dakota
    For most insurance, if you are contracted (par) with them, you also cannot bill the patient for bundled services.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  4. #4
    Reno, Nevada
    Thank You for your reply. It has been very helpful.

    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

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