Medical Billing Forum
Starting a Medical Billing Business => Starting Your Own Medical Billing Business => : vchere6535 January 11, 2011, 09:03:23 PM
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When signing a new provider, how would you handle billing the actual dollar amounts?
Would you ask the client for a table of charges, and to prepare one for you if they don't have it?
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When signing a new provider, how would you handle billing the actual dollar amounts?
Would you ask the client for a table of charges, and to prepare one for you if they don't have it?
Not sure what you mean but most will have a superbill or if they are a specialty at the very least a fee schedule which you load into your PM software by CPT
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oh, ok.
i ment, when the claim is being submitted to insurance carriers, electronic format or paper, we list CPT codes in box 24 (in the order performed), and the box 24F, where it asks to list actual dollar amounts billed for the procedures... I can just ask the provider to prepare a fee table for me if they dont have one?
Out of curiousity, If you just put an arbitrary $200 for every CPT code, insurance company will only reimburse maximum allowed per cpt. but doing so is fraud?
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The provider should have a fee schedule.
You would not arbitrarily assign any amount to a fee. The provider should have a standard fee schedule. Yes insurance companies will reimburse based on an allowable or U&C. No it's not fraud to use the providers fee, it's actually the correct way to bill and that allows you to track the adjustments for each carrier.
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right. gotcha. Thanks much :)