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Avoid losing revenue and patients through poor customer service. The insurance verification process confirms patient eligibility and benefits and must be done before the patient is seen by the provider. Failure to perform this step or allowing untrained staff to perform this step can cause a medical practice to lose revenue and patients. An Example […]
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Learn proper billing for antepartum services.
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My understanding is after the primary insurance’s remittance advice is submitted to the secondary insurance with the claim form, the secondary will pay 100% after their $ 25 copay is met. Based on this rule (that I might be wrong about) the patient should pay a $ 10 copay at the appointment.
Thanks in advance for any advice.
Patient has insurance. Chooses to go for ‘self pay’ rate/no insurance.
Third party vendor discovers patient had insurance.
Patient paid the discounted rate. Do we ‘bill’ the insurance even if patient did not request the visit to be sent to their insurance?
Ashley, CPC-A
I recently had a conversation with a provider who stated that a patient is considered NEW (for coding purposes) when they have been treating under workers comp and then come in to treat for a separate, unrelated visit under their private insurance in under 3 years. (or vice versa). Coding a new patient visit has nothing to do with carrier, correct?
Thank you