Medical Billing Forum

Billing => Billing => : sls December 21, 2016, 03:55:02 PM

: HMO inpatient
: sls December 21, 2016, 03:55:02 PM

we are billing initial consults for inpatient services. Keystone HMO is processing them as covered in capitation. Can you appeal this, since its inpatient or are we billing incorrectly and it should be initial

: Re: HMO inpatient
: PMRNC December 21, 2016, 04:48:32 PM

What does your contract with them say?
Need to check that first.