Billing > Billing

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thatcuteblonde:
If a patient receives Chiropractic care and maxes their benefits they are still obligated to pay for the additional treatment they receive. You are not required to treat a patient for free simply because they are out of benefits.

Michele:
If it is a Medicaid patient, make sure you know the Medicaid laws for your state.

Michele

Pay_My_Claims:

--- Quote from: thatcuteblonde on April 22, 2009, 02:02:00 PM ---If a patient receives Chiropractic care and maxes their benefits they are still obligated to pay for the additional treatment they receive. You are not required to treat a patient for free simply because they are out of benefits.

--- End quote ---

Honey, that is part of your job to determine PRIOR to service if the patient is covered or not!! It can depend on the insurance they have and the contract you have with the insurance provider. My advice for anyone is to check their benefits because not knowing and billing a patient for care they have already received will keep your AR loaded with self pay balances that will probably end up being w/o as a bad debt!!!

PMRNC:
Charlene is right, there are state Medicaid plans that do NOT allow you to bill visits after a patient has exhausted the benefit limit.  Verifying benefits PRIOR to the visit is the only way to be sure!

Linda Walker
PMRNC
www.billerswebsite.com   

thatcuteblonde:
Well in Wisconsin, we are allowed to bill them if they continue to receive care after their benefits have been exhausted. They are allowed 20 visits per year, period and anything after that is on a self pay basis. Though the laws may be different in other states, we notify the patients up front that these are their benefits and should they choose to receive care after those 20 visits have been used, they will be responsible for it on a self pay basis so under no circumstances do we simply continue to treat only to inflate our A/R by not notifying the patients of their benefits. The choice to continue with treatment is theirs, as we clearly state in our financial agreements after verifying benfits and before they begin with their treatment.  ;D

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