Results 1 to 3 of 3

insurance contracts and billing

  1. #1
    Grants Pass
    Default insurance contracts and billing
    Medical Coding Books
    What is considered proper practice in this situation? We have several insurance companies who vary greatly in what services they will cover. Such as a pap with an E&M visit, a surgery tray with an EMC, a family planning visit during the post partum period. Is it proper to bill every service done without thought to a specific insurance contract and let the insurance deny services as per contract? Or is proper to bill services as an insurance contract states they will be paid?
    thanks, I'm learning so much from you all!

  2. #2
    I would code and bill what was performed, regardless what you have in your contract with insurance.

  3. Default
    I would bill everything but if you are seeing a pattern on a certain code with a certain insurance company, you might want to contact the insurance rep or insurance company themselves and get something in writting.

    I don't know if your practice keeps a report on denials or not. But the higher the denials on the books the worse the report looks. Something to think about.

Similar Threads

  1. Insurance contracts
    By mhammy67 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 06-18-2015, 08:18 AM
  2. insurance contracts
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-22-2015, 04:50 AM
  3. Insurance Contracts
    By sclegg in forum General Discussion
    Replies: 0
    Last Post: 03-17-2015, 10:17 AM
  4. Insurance Contracts
    By Texascoder64 in forum General Discussion
    Replies: 3
    Last Post: 10-25-2012, 11:36 AM
  5. Billing Contracts
    By KimmHall in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-02-2008, 10:07 AM

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.