General Category > General Questions

Different Fee Schedules

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Pay_My_Claims:
Let's see if he responds, because it can be taken either way.

dfranklin:
He is actually Non Par with all providers.  And I did mean he bills Workers Comp differently fees than Cash than Insurance (All not contracted with). 

Thanks!

PMRNC:
You mean non-par with all carriers right?
Yes there can be a potential for a problem if he is billing different for cash/insurance patients than WC claims. Is he inflating costs? Is he billing the attorney's with LOP's? or maybe there are negotiated fees?  Before I say it's wrong there's a lot more information that would need to be given. He could also be charging for records and attorney's.. etc.

dfranklin:
Yes I did mean Non Par with Carriers. 

For example 97014 for cash is $10, for insurance is $30 and for workers comp it is $30 or
97110 for cash is 0(Zero), insurance $40, $33 or
97124 for cash is $30, insurance is $45 and wc is $22.14

Thanks!

PMRNC:
Yes, there are a lot of problems with that type of billing especially if he has Medicare patients!

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