Results 1 to 2 of 2

pass through billing?

  1. Default pass through billing?
    Medical Coding Books
    I have a former physician who wants to bill for EMG services. The equipment will be brought into the office, the testing performed by a tech not employed by the physician, and read by another physican in another location not associated at all with this office. In other words my former physican merely provides the patient, the office space and billing staff, yet he bills as if he has performed the entire service. I consider this pass through billing as he has a contract with another group, bills the carrier as if he performs the service, pays the performing group and keeps the rest. This cannot be legal. Does anyone else agree? I have since severed my ties with this physician.

  2. #2
    I'm no lawyer, but sounds illegal to me - sounds like an anti-kickback issue.

    Read more here:

Similar Threads

  1. Pass Through Laboratory Billing Services
    By kdickerson in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 12-07-2011, 09:48 AM
  2. Replies: 1
    Last Post: 12-29-2010, 09:25 PM
  3. Medicare Pass-Through Billing for CRNA
    By missyah20 in forum Medicare Regulations
    Replies: 0
    Last Post: 12-29-2010, 02:33 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?


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.