Author Topic: PIP billing  (Read 1470 times)


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PIP billing
« on: June 09, 2015, 10:20:45 AM »
If a PIP patient has  a new area of concern while being treated for his MVA injuries, I understand this is not covered under PIP but that patient will have to use their health insurance or go out of pocket. My question is do I still need to include the new diagnosis codes in my PIP claim? Do I also need to include the treatment codes that was performed on him for the new diagnosis code but not actually include the charges in the total?
Treatment for the PIP injuries and this new non-PIP area are being treated on the same date of service.


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Re: PIP billing
« Reply #1 on: June 09, 2015, 07:04:22 PM »
I have never had to bill PIP cases, but I have billed WC cases, and if the patient presented for a WC complaint, and then had a new complaint unrelated to the WC, two separate claims and treatment notes were done. The WC was billed for the WC charges and dx's, and the patient's regular insurance was billed for the unrelated charges and dx's, with nothing being crossed over on the claims. The provider would dictate two separate treatment notes. I imagine it is the same process for PIP cases where the patient also has a new, unrelated issue at the same visit. But someone please correct me if I am wrong...


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Re: PIP billing
« Reply #2 on: August 22, 2015, 03:08:59 PM »
How can it be determined that the additional area of concern is not related to the MVA? Any concerns being treated should be billed to PIP so long as it is reasonable, related and necessary.  Any additional questions on PIP, feel free to PM or call me.

Andrew Sky, Esq.
Sky Law Firm, P.A.