General Category > General Questions
Outpatient Billing - Pre, Post and Path charges
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eFLABC1:
Should a patient be billed for all pre, post, and Path charges, including procedural charges on one global bill, or can the charges be broken up and billed separately? The PT has a copay of $300 for outpt surgery - should that be the only fee, or could fees for pre, post, and path be charged at the normal copay of $50 for each service?
Michele:
The question is a little vague so I'm not sure if I"m answering it correctly. I believe you are stating that the patient has a $300 copay for surgery and only a $50 copay for other services. THe question I believe is, if the surgery is billed as pre, post and path separately will it be 3 $50 copay or 1 $300 copay. Again, not much info to go by, what insurance carrier? etc. But I would guess that the answer is they would still apply the $300 surgery copay. THe services are still surgical even if broken out into 3 separate charges.
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