Results 1 to 4 of 4

Billing

  1. #1
    Location
    St.Louis East Chapter
    Posts
    10
    Question Billing
    Medical Coding Books
    If a patient has insurance are they able to be self pay. Is there a rule to say that we must bill insurance if they have it. If we know the patient will have to pay more out of pocket with the insurance. Is it okay to implement self pay.

  2. #2
    Default
    If you are contracted with their insurance your contract states that you would have to bill the insurance company. and that you must bill the patient for their co-pays and deductible according to the EOB. Ask you insurance contract person they should be able to show this to you in their contract.

    Hope this helps.
    Debbie Potts England
    Lyles, TN 37098

  3. #3
    Location
    Lafayette, LA
    Posts
    12
    Default
    A patient who wants to be self pay - wether they have ins. or not - can be self pay. The contract between physicians and ins. co's. is mostly for contracted rates. If the patient does not want thier ins. billed then they can be self pay.

  4. #4
    Location
    St.Louis East Chapter
    Posts
    10
    Default Billing
    Thanks for the help. It looks like the office I work for have a self pay plan that the patient will pay one set price if they know the out of pocket is too much for the patient. We are suppose to just charge the patient 20 dollars for physical therapy. I guess this is just some form of way of not turning anyone way if we are out of network with their insurance.

Similar Threads

  1. Replies: 2
    Last Post: 04-24-2015, 05:20 PM
  2. Replies: 0
    Last Post: 08-24-2012, 09:09 PM
  3. CPC owner of Medical billing service offers remote billing
    By dfallows in forum Resume Postings
    Replies: 0
    Last Post: 06-18-2008, 01:11 PM

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?

Login

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.