Author Topic: Holding Claims for Ded/OOP Reasons  (Read 5388 times)

Nick D

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Holding Claims for Ded/OOP Reasons
« on: September 24, 2024, 04:29:10 PM »
Hello all,

What is your experience in facilities holding claims? I know some facilities hold bills so they don't get dinged if the policy has not met their deductible and/or out-of-pocket. I don't find this to be ethically "above board" but I'm wondering if there are any actual repercussions? I was advised previously that the insurance companies will retract/issue payments at the end of the year based on Dates of Service but it is difficult to legitimately track that.

*If you do have info please cite your source(s)*

Thank you in advance for any info you may have!
OON Facilities Billing Manager

Medical Billing Forum

Holding Claims for Ded/OOP Reasons
« on: September 24, 2024, 04:29:10 PM »