Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Urgent payment question

I have a question and need an answer as soon as possible. Pretty sure i am going to be giving my notice today due to this but want to make sure i am right first.

We see patients for mva, we were paid by geico and the patient had a 78.00 co-insurance balance per geico.

When the case settled the attorney and our owner agreed upon a 500.00 payment and there is nothing that says the patient owes that. In the email i got it said the owner felt the reduction was incorrect so he and the attorney agreed on the 500.00 full and final.

I do not think this is legal or allowed because if he disagrees with the payment he would have to take it up with the insurance not money from the patient’s settlement, correct? And if they reduction was incorrect, it was not 500.00 worth of incorrect.

They are telling me it is not illegal and that he is in the right accepting the 500.00 and i disagree and i am worried i should not stay in this office under the circumstances, i do not want my name on any of this as the billing manager.

Please any advise would be helpful. I really in a bad place right now with this.

Dorthi

Medical Billing and Coding Forum