Payments > Patient Billing
charging for no show appts
Pay_My_Claims:
http://www.medscape.com/viewarticle/705520
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5613.pdf
PMRNC:
I see both angles to this but I also see reality. A no-show is billing for services NOT rendered.. insurance companies don't pay them and patients that are billed these have recourse for legally NOT paying it. These basically are there to "defer" the patient, but providers should be warned that if push comes to shove they won't be successful at getting these reported to credit bureau's.
Sportsmom:
When I read the below stmt I take it as you can bill for missed appts but we can't bill a BCBS client
$ 55.00 and a medicare client $70.11.
I hate that we bill for missed appts fee. I had to bill a client today $ 92.00 for her missed appt fee becuase she got suck at work and could not make her appt. But that is what the provider would have been paid if she made her appt.
CMS policy allows physicians, providers, and suppliers to charge Medicare beneficiaries for missed appointments, provided that they do not discriminate against Medicare beneficiaries but also charge non-Medicare patients for missed appointments and the charges for Medicare and non-Medicare patient are the same. The charge for a missed appointment is not a charge for a service itself (to which the assignment and limiting charge provisions
I have billed for 10 years, but now at the office I work at we have a biller that has taken a class and calls her self a bill. I think she is a data inputer not a biller. She will not bill secondary ins with out me getting very mad, has the office manager.
Thanks for listen to me tonight.
Pay_My_Claims:
--- Quote from: Sportsmom on January 21, 2010, 11:07:11 PM ---When I read the below stmt I take it as you can bill for missed appts but we can't bill a BCBS client
$ 55.00 and a medicare client $70.11.
I hate that we bill for missed appts fee. I had to bill a client today $ 92.00 for her missed appt fee becuase she got suck at work and could not make her appt. But that is what the provider would have been paid if she made her appt.
CMS policy allows physicians, providers, and suppliers to charge Medicare beneficiaries for missed appointments, provided that they do not discriminate against Medicare beneficiaries but also charge non-Medicare patients for missed appointments and the charges for Medicare and non-Medicare patient are the same. The charge for a missed appointment is not a charge for a service itself (to which the assignment and limiting charge provisions
I have billed for 10 years, but now at the office I work at we have a biller that has taken a class and calls her self a bill. I think she is a data inputer not a biller. She will not bill secondary ins with out me getting very mad, has the office manager.
Thanks for listen to me tonight.
--- End quote ---
Like I said previously, and Linda confirmed (thanks) You can't bill for services you DIDN'T receive. A no-show is a no-show. It is a set fee to prevent no-show appts. If I could find out who this provider is, he would be in SERIOUS trouble!! There is no way I would get a bill for a service I didn't receive and pay for it. I would LOVE for him to take me to court over it. ............
melissa_2004:
I wonder how the patients feel about this provider or what the patient turn over rate is at this office. This does not show patient goodwill to me. Is there a discount given when the office overbooks appointments and the patients have to wait past their appointment time or when the doctor hasn't even arrived at the office yet to begin seeing the patients? I doubt it. I think some things should be water under the bridge.
Melissa
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